Active NPI
Edward Joseph Martin, MD
- Ophthalmology Physician
- Albany, NY
National Provider Identifier
1316995269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 102850
- Practice address
- 246 New Scotland Ave
Albany, NY 12208-3101 - Phone
- (518) 482-4407
- Fax
- (518) 482-4408
- NPI assigned
- May 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 102850 | NY | Primary |
Addresses
Primary practice location
246 New Scotland Ave
Albany, NY 12208-3101
Mailing address
PO Box 355
Slingerlands, NY 12159-0355
Phone (518) 818-1302
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70373 | Other | NY | EMPIRE BC/BS |
| 000405848 | Other | NY | BLUE SHIELD OF NENY |
| 400621 | Other | NY | MVP HEALTH CARE |
| 10001298 | Other | NY | CDPHP |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505865600000",
"number": "1316995269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 355",
"city": "SLINGERLANDS",
"state": "NY",
"postal_code": "121590355",
"telephone_number": "518-818-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083101",
"telephone_number": "518-482-4407",
"fax_number": "518-482-4408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "EDWARD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2017-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "102850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "70373",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF NENY",
"identifier": "000405848",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "400621",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10001298",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.