Allyson J Martell, APN
Individual provider Active NPI Primary Care Nurse Practitioner · Moonachie, NJ
NPI 1306500517 · NPPES record last updated Oct 25, 2021
Key facts
- NPI
- 1306500517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 26NJ01220900 (NJ)
- Practice address
- 250 Moonachie Rd
Moonachie, NJ 07074-1378 - Phone
- (201) 596-6262
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211208002329 | NJ | Practitioner - Nurse Practitioner | 0648660530 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Pediatrics LLC | Current |
Accepting new patients | |
| Baker Health Medicine PLLC | Past |
Accepting new patients |
Locations
34 The Promenade
Edgewater, NJ 07020
Phone (551) 355-1200
250 Moonachie Rd
Moonachie, NJ 07074
Phone (201) 596-6262
250 Moonachie Rd
Ste 100
Moonachie, NJ 07074
Phone (201) 596-6262
Interoperability endpoints
- https://api.platform.athenahealth.com/25246/brand/2/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ01220900 | NJ | Yes |
Addresses
Primary practice location
250 Moonachie Rd
Moonachie, NJ 07074-1378
Mailing address
23 Crane St
Little Falls, NJ 07424-2202
Phone (973) 296-3885
Other providers in Moonachie, NJ
- Ilumed LLC
- Iz Medical LLC
- Jay Shree Krishna Moonachie LLC
- Parampreet Kaur
- Jocelyn Patricia Mariani
- Christopher Montes
- Symphony Moore
- Palak Panchal
- Aneri Patel
- Roseanne Sarkar
All providers in Moonachie, NJ · Primary Care Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.