Active NPI
Catherine Teresa Martin
- Nurse Practitioner
- White Plains, NY
National Provider Identifier
1356368807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F340206
- Practice address
- Three Barker Avenue
Park Avenue Medical Associates PC 4TH Floor
White Plains, NY 10601 - Phone
- (914) 949-1199
- Fax
- (914) 949-1245
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F340206 | NY | Primary |
Addresses
Primary practice location
Three Barker Avenue
Park Avenue Medical Associates PC 4TH Floor
White Plains, NY 10601
Mailing address
Three Barker Avenue
Park Avenue Medical Associates PC 4TH Floor
White Plains, NY 10601
Phone (914) 949-1199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02292015 | Medicaid | NY |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340206 | NY | MD | Psychiatry Physician |
| F340206 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356368807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THREE BARKER AVENUE",
"address_2": "PARK AVENUE MEDICAL ASSOCIATES PC 4TH FLOOR",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10601",
"telephone_number": "914-949-1199",
"fax_number": "914-949-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THREE BARKER AVENUE",
"address_2": "PARK AVENUE MEDICAL ASSOCIATES PC 4TH FLOOR",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10601",
"telephone_number": "914-949-1199",
"fax_number": "914-949-1245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CATHERINE",
"middle_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F340206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02292015",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, 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.