Carlos Romualdo Martinez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04649800 Issued in NJ

Practice address

548 Main St
Suite 1
South Amboy, NJ 08879-1262

Phone

(732) 316-2391

Fax

(732) 316-2348

NPI assigned

Apr 17, 2007

Last updated

Oct 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1346465911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 MAIN ST",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791262",
            "telephone_number": "732-316-2391",
            "fax_number": "732-316-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 MAIN ST",
            "address_2": "SUITE 1",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088791262",
            "telephone_number": "732-316-2391",
            "fax_number": "732-316-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CARLOS",
        "middle_name": "ROMUALDO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00027400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04649800",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00156200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iqra Malik
• Patricia Estrada Manfredonia, MD
• Manhattan Spine & Pain Medicine New Jersey, PC
• Kayla Marcano
• Alexandra Marrero
• Stephanie L. Mastorio, LCSW
• Ayana McCray
• Harold V McKenna, MD
• Andrew Jon McNulty, PSY.D.
• Med-X @Home (ambi-net transportation)

• Clinical Social Worker in South Amboy, NJ
• Providers in South Amboy, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.