Active NPI
Irina Aleksandrovna Martin
- Social Worker
- New York, NY
National Provider Identifier
1306768643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 132306
- Practice address
- 2791 Frederick Douglass Blvd
New York, NY 10039-3006 - Phone
- (212) 632-4700
- Fax
- (718) 304-1605
- NPI assigned
- Jul 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 132306 | NY | Primary |
Addresses
Primary practice location
2791 Frederick Douglass Blvd
New York, NY 10039-3006
Mailing address
2791 Frederick Douglass Blvd
New York, NY 10039-3006
Phone (212) 632-4700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1306768643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2791 FREDERICK DOUGLASS BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100393006",
"telephone_number": "212-632-4700",
"fax_number": "718-304-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2791 FREDERICK DOUGLASS BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100393006",
"telephone_number": "212-632-4700",
"fax_number": "718-304-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "IRINA",
"middle_name": "ALEKSANDROVNA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-28",
"last_updated": "2026-07-28",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "132306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.