Gene J Martin, DDS,MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DI020726 Issued in NJ

Practice address

94 Brick Rd
West Jersey Medical Plaza Suite 100
Marlton, NJ 08053-2179

Phone

(856) 596-9099

Fax

(856) 596-6715

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

State University of New York at Stony Brook, School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Porter, Martin, Salman, P.a.Group PAC ID 0042256174, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Porter, Martin, Salman, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Marlton, NJ
  • NPI 1689628604
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366430159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BRICK RD",
            "address_2": "WEST JERSEY MEDICAL PLAZA SUITE 100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532179",
            "telephone_number": "856-596-9099",
            "fax_number": "856-596-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BRICK RD",
            "address_2": "WEST JERSEY MEDICAL PLAZA SUITE 100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532179",
            "telephone_number": "856-596-9099",
            "fax_number": "856-596-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GENE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI020726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8039704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlton Neurology, PC
• Marlton Supermarket Inc
• Marlton Therapy Group
• Kelly Marthins
• Martin K Belsky DO PC
• Cara Martinez, APN
• David Martinez
• Gina Martino
• Martha Beatriz Martinolich, DMD
• Karin Emily Marton-Rollins, APN

• Oral and Maxillofacial Surgery (Dentist) in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• 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.
• 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.

Verify at the official NPI Registry.