Individual provider Active NPI

Jennifer M Martino-Hahn, MD

  • Diagnostic Radiology Physician
  • Stony Brook, NY
National Provider Identifier
1336170919
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
203941 Issued in NY
Practice address
101 Nicolls Road HSC4 Room 120
Stony Brook, NY 11794-8460
Phone
(631) 444-5400
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiological Physics Physician 2085R0205X 203941 NY
Diagnostic Radiology Physician 2085R0202X 203941 NY Primary

Addresses

Primary practice location

101 Nicolls Road HSC4 Room 120
Stony Brook, NY 11794-8460

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-5400

Other identifiers 1

IdentifierTypeStateIssuer
01909439MedicaidNY

Other names 1

  • Jennifer M Martino Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000478 NY Practitioner - Diagnostic Radiology 7113963232 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Hospital L4
Stony Brook, NY 11794-8460
Phone (631) 444-7224

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203941NYMDRadiological Physics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Radiological Physics CurrentSince Sep 1, 2015 Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Aug 12, 2018 Accepting new patients
Fpa Hospital Based CurrentSince Jan 1, 2015 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients
University Physicians of Brooklyn, Inc. Diagnostic Radiology CurrentSince Jul 8, 2017 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
Stony Brook Radiology, University Faculty Practice Corporation Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2015 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Jul 8, 2017 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology CurrentSince Aug 12, 2018 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Mar 28, 2016 Accepting new patients
Fpa Hospital Based Current Accepting new patients
New York University Medical Center Faculty Practice Radiology Diagnostic Radiology Past Accepting new patients
Beth Israel Medical Center Diagnostic Radiology Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Nyumc Radiology Associates Diagnostic Radiology Past Accepting new patients
East Manhattan Diagnostic Imaging, P.C. Diagnostic Radiology Past Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients
West Side Radiology Associates, PC Diagnostic Radiology Past Accepting new patients
New York Spine & Brain Surgery, University Faculty Practice Corporatio PastSince Jan 1, 2020 Accepting new patients
Westchester Medical Group, P.C. Past Accepting new patients
East Manhattan Diagnostic Imaging, PC Diagnostic Radiology Past Accepting new patients
Suny Health Science Center at Brooklyn Diagnostic Radiology Past Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

300 Cadman Plz W
Fl 18
Brooklyn, NY 11201
Phone (929) 210-6000

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

339 Hicks St
Brooklyn Heights, NY 11201
Phone (718) 780-1538

560 1st Ave
Fl 2
New York, NY 10016
Phone (212) 263-5212

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

1090 Amsterdam Ave
#3
New York, NY 10025
Phone (212) 523-1784

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

560 1st Ave
New York, NY 10016
Phone (212) 263-5362

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

100 Nicolls Rd
#L4
Stony Brook, NY 11794
Phone (631) 444-2976

101 Nicolls Rd
Rm 120
Stony Brook, NY 11794
Phone (631) 444-7538

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Interoperability endpoints

  • Direct secure messaging: jennifer.martino@direct.stonybrookmedicine.edu

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1336170919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989",
            "telephone_number": "631-444-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICOLLS ROAD HSC4 ROOM 120",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948460",
            "telephone_number": "631-444-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO-HAHN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-12-28",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "NY",
            "license": "203941",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "203941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01909439",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MARTINO",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.