Individual provider Active NPI

Martin David Mayer, MD

  • General Practice Physician
  • New York, NY
National Provider Identifier
1295972396
Registry record updated Jan 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD 106724 Issued in NY
Practice address
139 E 33Rd St Apt 10L
New York, NY 10016-5328
Phone
(212) 780-9325
Fax
(212) 448-1941
NPI assigned
Jan 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD 106724 NY Primary

Addresses

Primary practice location

139 E 33Rd St Apt 10L
New York, NY 10016-5328

Mailing address

139 E 33Rd St Apt 10L
New York, NY 10016-5328
Phone (212) 780-9325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 106724NYMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1231632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231632000000",
    "number": "1295972396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E 33RD ST APT 10L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165328",
            "telephone_number": "212-780-9325",
            "fax_number": "212-448-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E 33RD ST APT 10L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165328",
            "telephone_number": "212-780-9325",
            "fax_number": "212-448-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "MARTIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-11",
        "last_updated": "2009-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "MD 106724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.