Individual provider Active NPI

Jenna Lynn Martorelli, LDO

  • Optician
  • New Haven, CT
National Provider Identifier
1336015676
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1945 Issued in CT
Practice address
315 Foxon Blvd
New Haven, CT 06513-2355
Phone
(203) 467-7632
NPI assigned
Oct 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1945 CT Primary

Addresses

Primary practice location

315 Foxon Blvd
New Haven, CT 06513-2355

Mailing address

315 Foxon Blvd
New Haven, CT 06513-2355
Phone (203) 467-7632

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": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1336015676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 FOXON BLVD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065132355",
            "telephone_number": "203-467-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 FOXON BLVD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065132355",
            "telephone_number": "203-467-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTORELLI",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "1945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.