Individual provider Active NPI

Dajah Martin, FNP-C

  • Family Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1275324535
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN324957 Issued in GA
Practice address
801 N Market St
Wilmington, DE 19801-3095
Phone
(212) 385-3700
NPI assigned
May 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN324957 GA Primary

Addresses

Primary practice location

801 N Market St
Wilmington, DE 19801-3095

Mailing address

4 Pheasant CT
Columbus, NJ 08022-2336
Phone (609) 906-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250722000367 DE Practitioner - Nurse Practitioner 2961918404 Reassigns benefits to 1 organization
I20260422000001 PA Practitioner - Nurse Practitioner 2961918404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Specs of PA PLLCGroup PAC ID 8820579949, 7 clinicians
Dermatology Specialists of Delaware LLCGroup PAC ID 8224503396, 7 clinicians

Practice addresses (Care Compare)

223 -225 Market St
Philadelphia, PA 19106-4502
Phone (212) 203-0036

801 N Market St
Wilmington, DE 19801-3095
Phone (212) 385-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN324957GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Specs of PA PLLC CurrentSince Feb 25, 2024 Accepting new patients
Bobby Buka, M.D., P.C. PastSince Apr 1, 2007 Accepting new patients

Locations

6062 Ridge Ave
Philadelphia, PA 19128
Phone (215) 508-5555

225 Market St
Philadelphia, PA 19106
Phone (215) 395-7546

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAA

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1275324535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PHEASANT CT",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080222336",
            "telephone_number": "609-906-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MARKET ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198013095",
            "telephone_number": "212-385-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DAJAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN324957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.