Kaitlyn Martin, RN
Individual provider Active NPI Registered Nurse · East Moriches, NY
NPI 1386573376 · NPPES record last updated May 15, 2026
Key facts
- NPI
- 1386573376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- N27654 (NY)
- Practice address
- 165 Montauk Hwy
East Moriches, NY 11940-1144 - Phone
- (631) 566-4846
- NPI assigned
- May 15, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N27654 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | N27654 | NY | Yes |
Addresses
Primary practice location
165 Montauk Hwy
East Moriches, NY 11940-1144
Mailing address
165 Montauk Hwy
East Moriches, NY 11940-1144
Other providers in East Moriches, NY
- Diana Lucenti
- Kristina Macdonald
- Erica Lee Mailand
- Kathleen Frances Malsky
- Krystie Leigh Manaro
- William C McConnell
- Cynthia Lynn McDonald
- Dhiren Chhotalal Mehta
- Ranjana D Mehta
- Stuart J Menis
All providers in East Moriches, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.