Active NPI
Emanuel Martinez, PA
- Physician Assistant
- Tenafly, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00510800
- Practice address
- 104 Columbus Dr
Tenafly, NJ 07670-1634 - Phone
- (646) 258-9463
- NPI assigned
- Feb 7, 2007
- Last updated
- Nov 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 011093-1 | NY | |
| Physician Assistant | 363A00000X | 25MP00510800 | NJ | Primary |
Addresses
Primary practice location
104 Columbus Dr
Tenafly, NJ 07670-1634
Mailing address
104 Columbus Dr
Tenafly, NJ 07670-1634
Phone (646) 258-9463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 W Haledon Ave
Afc Urgent Care Paramus
Haledon, NJ 07508-1373
Phone (862) 562-2090
560 New York Ave
Lyndhurst, NJ 07071-1532
Phone (201) 345-3839
67 E Ridgewood Ave
Unit C
Paramus, NJ 07652-3623
Phone (201) 262-2010
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011093 | NY | MD | Clinical Psychologist |
| 011093-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SKR Medical Advisors | Current | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients | |
| Am PM Primary Care | Past | Accepting new patients | |
| Rockland Medical Group, PLLC | Past | Accepting new patients | |
| Pharma Holding Inc | Past | Accepting new patients |
Locations
560 New York Ave
Lyndhurst, NJ 07071
Phone (201) 345-3839
2100 88th St
Bldg G
North Bergen, NJ 07047
Phone (201) 345-3839
2100 88th St
Bldg G1A
North Bergen, NJ 07047
Phone (201) 773-1360
Organizations & group practices 16
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.
-
- Urgent Care Clinic/Center
- Lyndhurst, NJ
- NPI 1184971558
-
- Urgent Care Clinic/Center
- Bergenfield, NJ
- NPI 1073853859
-
- Urgent Care Clinic/Center
- West Caldwell, NJ
- NPI 1144524786
-
- Urgent Care Clinic/Center
- Brick, NJ
- NPI 1184067944
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1063652220
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
dba The Medical Group of New Jersey
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1265572424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 COLUMBUS DR",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076701634",
"telephone_number": "646-258-9463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 COLUMBUS DR",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076701634",
"telephone_number": "646-258-9463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "EMANUEL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "011093-1",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00510800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tenafly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.