Active NPI
Sergio Martinez
- Pulmonary Disease Physician
- Jackson Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 181742
- Practice address
- 3711 88TH St
Jackson Heights, NY 11372-7630 - Phone
- (718) 446-4544
- NPI assigned
- Jul 6, 2006
- Last updated
- Nov 20, 2007
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DS Medical Diagnostics PC | Current | 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
- 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.
-
- Pulmonary Disease Physician
- Jackson Heights, NY
- NPI 1932119898
-
- Pulmonary Disease Physician
- Corona, NY
- NPI 1023047289
-
- Diagnostic Radiology Physician
- Flushing, NY
- NPI 1598259996
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356011761
-
dba St Vincents Catholic Medical Center
- Diagnostic Radiology Physician
- Jamaica, NY
- NPI 1285780502
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- Multi-Specialty Clinic/Center
- Yonkers, NY
- NPI 1679670806
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.