Individual provider Active NPI

Julio Cesar Martinez III

  • Family Nurse Practitioner
  • Woodbourne, NY
National Provider Identifier
1356889786
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341387 Issued in NY
Practice address
99 Prison Rd
Woodbourne, NY 12788-5633
Phone
(845) 434-7730
NPI assigned
Feb 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 341387 NY Primary

Addresses

Primary practice location

99 Prison Rd
Woodbourne, NY 12788-5633

Mailing address

47 Marian CT
Warwick, NY 10990-4047
Phone (845) 234-5077

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181227001310 NY Practitioner - Nurse Practitioner 2769727411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Firstcare Medical, PCGroup PAC ID 5496853756, 12 clinicians

Practice addresses (Care Compare)

222 Route 299
Highland, NY 12528-2524
Phone (845) 691-3627

Hospital & facility affiliations

  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
341387NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Firstcare Medical, PC CurrentSince May 6, 2024 Accepting new patients
Axis Medical PLLC CurrentSince Oct 7, 2018 Accepting new patients

Locations

222 Route 299
Highland, NY 12528
Phone (845) 691-3627

15 Fulton Ave
Poughkeepsie, NY 12603
Phone (845) 471-5070

Organizations & group practices 2

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

Hospital & facility affiliations 3

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1356889786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MARIAN CT",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904047",
            "telephone_number": "845-234-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PRISON RD",
            "city": "WOODBOURNE",
            "state": "NY",
            "postal_code": "127885633",
            "telephone_number": "845-434-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbourne, NY

Sources for this page

Verify at the official NPI Registry.