Active NPI
Joseph B Martin, M.D., PH.D.
- Neurology Physician
- Boston, MA
National Provider Identifier
1306030879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 42625
- Practice address
- 220 Longwood Ave
Harvard Medical School
Boston, MA 02115-5701 - Phone
- (617) 432-7197
- NPI assigned
- Aug 28, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 42625 | MA | Primary |
Addresses
Primary practice location
220 Longwood Ave
Harvard Medical School
Boston, MA 02115-5701
Mailing address
220 Longwood Ave
Harvard Medical School
Boston, MA 02115-5701
Phone (617) 432-7197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42625 | MA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1306030879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 LONGWOOD AVE",
"address_2": "HARVARD MEDICAL SCHOOL",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155701",
"telephone_number": "617-432-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 LONGWOOD AVE",
"address_2": "HARVARD MEDICAL SCHOOL",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155701",
"telephone_number": "617-432-7197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JOSEPH",
"middle_name": "B",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-28",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "42625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.