Active NPI
Krista E Martinez, MD
- Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 305856
- Practice address
- 220 5TH Ave
11TH Floor
New York, NY 10001 - Phone
- (917) 818-0267
- NPI assigned
- May 29, 2017
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 305856 | NY | Primary |
Addresses
Primary practice location
220 5TH Ave
11TH Floor
New York, NY 10001
Mailing address
220 5TH Ave, 11TH Floor
11TH Floor
New York, NY 10001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305856 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Wyckoff Professional Medical Services, PC | Current | Accepting new patients |
Locations
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150
150 E 42nd St
Fl 2
New York, NY 10017
Phone (646) 605-8119
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Psychiatry Department of Mount Sinai
- Addiction Medicine (Psychiatry & Neurology) Physician
- New York, NY
- NPI 1033482518
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1326576851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 5TH AVE, 11TH FLOOR",
"address_2": "11TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 5TH AVE",
"address_2": "11TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "917-818-0267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "KRISTA",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-29",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "305856",
"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 Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.