Individual provider Active NPI

Justin Paul Martello, M.D.

  • Neurology Physician
  • Newark, DE
National Provider Identifier
1255622676
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C1-0011667 Issued in DE
Practice address
200 Hygeia Dr Ste 1420
Newark, DE 19713-2049
Phone
(302) 623-3017
Fax
(302) 266-9962
NPI assigned
Apr 20, 2011
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X C1-0011667 DE Primary

Addresses

Primary practice location

200 Hygeia Dr Ste 1420
Newark, DE 19713-2049

Mailing address

200 Hygeia Dr Ste 1420
Newark, DE 19713-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160421000171 MD Practitioner - Neurology 5991003139 Reassigns benefits to 2 organizations
I20160614001007 DE Practitioner - Neurology 5991003139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Maryland School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Total Elder Care, LLCGroup PAC ID 4981901550, 27 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 838-3088

9103 Franklin Square Dr
Baltimore, MD 21237-3900
Phone (443) 777-2663

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0011667DEMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Neurology CurrentSince Jul 5, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2025 Accepting new patients
Christiana Care Health Services Inc Neurology CurrentSince Jul 5, 2016 Accepting new patients
Medstar Total Elder Care LLC CurrentSince Oct 20, 2025 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc Neurology CurrentSince Jul 5, 2016 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

200 Hygeia Dr
Ste 1420
Newark, DE 19713
Phone (302) 623-3017

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

774 Christiana Rd
Ste 201
Newark, DE 19713
Phone (302) 623-3017

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

5445 Loch Raven Blvd
Ste 203
Baltimore, MD 21239
Phone (443) 444-6100

9103 Franklin Square Dr
Rosedale, MD 21237
Phone (443) 777-7147

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1255622676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR STE 1420",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "fax_number": "302-266-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR STE 1420",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-623-3017",
            "fax_number": "302-266-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELLO",
        "first_name": "JUSTIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "C1-0011667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.