NPIMap

Organization Active NPI

Martin Orthopaedic & Wellness Group

  • Orthopaedic Surgery Physician
  • White Plains, MD
National Provider Identifier
1265112692
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MARTIN ORTHOPAEDIC & WELLNESS GROUP
Practice address
4255 Altamont PL Ste 201
White Plains, MD 20695-3024
Phone
(443) 333-9667
Fax
(443) 339-4056
NPI assigned
Jul 20, 2023
Organization subpart
Yes
Parent organization
MARTIN ORTHOPAEDIC & WELLNESS GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Jabari Ian Justin Martin, MDNPI 1760703557
Title
Owner
Phone
(443) 333-9667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

4255 Altamont PL Ste 201
White Plains, MD 20695-3024

Mailing address

7525 Greenway Center Dr Ste 214
Greenbelt, MD 20770-3525
Phone (443) 333-9667

National Provider Directory

National Provider Directory
Tax ID family
Martin Orthopaedic Wellnes3 organizations share this tax ID, including this one
Part of
Martin Orthopaedic Wellnes

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1265112692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE 214",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703525",
            "telephone_number": "443-333-9667",
            "fax_number": "443-339-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 ALTAMONT PL STE 201",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953024",
            "telephone_number": "443-333-9667",
            "fax_number": "443-339-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN ORTHOPAEDIC & WELLNESS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTIN ORTHOPAEDIC & WELLNESS GROUP",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JABARI",
        "authorized_official_middle_name": "IAN JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-333-9667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.