Individual provider Active NPI

Sergio Martinez

  • Pulmonary Disease Physician
  • Jackson Heights, NY
National Provider Identifier
1336171040
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
181742 Issued in NY
Practice address
3711 88TH St
Jackson Heights, NY 11372-7630
Phone
(718) 446-4544
NPI assigned
Jul 6, 2006
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 181742 NY Primary

Addresses

Primary practice location

3711 88TH St
Jackson Heights, NY 11372-7630

Mailing address

2540 Shore Blvd
Long Island City, NY 11102-3941
Phone (718) 446-4544

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
I20060202000843 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 1759395338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Easy Care Queens Medical, PCGroup PAC ID 6103819081, 2 clinicians

Practice addresses (Care Compare)

13249 41St Rd
Suite 1F
Flushing, NY 11355-4286
Phone (516) 482-7775

3711 88TH St
Jackson Heights, NY 11372-7630
Phone (718) 446-4544

4039 Junction Blvd
Corona, NY 11368-2121
Phone (718) 397-8866

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DS Medical Diagnostics PC CurrentSince Aug 1, 2020 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Yonkers Medical Diagnostic,PC Past Accepting new patients

Locations

13249 41st Rd
Ste 1F
Flushing, NY 11355
Phone (516) 482-7775

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFFCA/Endpoint/GJFFCA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1336171040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 SHORE BLVD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111023941",
            "telephone_number": "718-446-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 88TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727630",
            "telephone_number": "718-446-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "SERGIO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "181742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.