Active NPI
Eberne Martineau, MD
- Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
- Brooklyn, NY
National Provider Identifier
1346456589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
- License
- 16583
- Practice address
- 800 Poly PL
Brooklyn, NY 11209-7104 - Phone
- (718) 968-0940
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Psychiatry & Neurology) Physician | 2084H0002X | 16583 | PR | Primary |
Addresses
Primary practice location
800 Poly PL
Brooklyn, NY 11209-7104
Mailing address
1097 E 58TH St
Apt.2
Brooklyn, NY 11234-2509
Phone (718) 968-0940
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16583 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346456589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1097 E 58TH ST",
"address_2": "APT.2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112342509",
"telephone_number": "718-968-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 POLY PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112097104",
"telephone_number": "718-968-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEAU",
"first_name": "EBERNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084H0002X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
"state": "PR",
"license": "16583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.