Active NPI
George T. Martin, M.D.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1386743961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 115717
- Practice address
- 150 55TH Street
LMC Physician Services, PC
Brooklyn, NY 11220 - Phone
- (718) 630-7000
- Fax
- (718) 630-8515
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 115717 | NY | Primary |
| Gastroenterology Physician | 207RG0100X | 115717 | NY |
Addresses
Primary practice location
150 55TH Street
LMC Physician Services, PC
Brooklyn, NY 11220
Mailing address
5800 Third Avenue
Managed Care Department
Brooklyn, NY 11220
Phone (718) 630-7124
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000034539 004 | Other | NY | AFFINITY |
| 702496 | Other | NY | UNITED HEALTHCARE |
| P427181 | Other | NY | OXFORD |
| 115717-A79 | Other | NY | HEALTH FIRST |
| 00344812 | Medicaid | NY | |
| 000384680101 | Other | NY | HEALTH PLUS |
| 113192423MA10 | Other | NY | CARE PLUS |
| 171903 | Other | NY | ELDERPLAN |
| 00115717 | Other | NY | NEIGHBORHOOD |
| 301258 | Other | NY | WELLCARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newyork-Presbyterian/Queens | Past | Accepting new patients |
Interoperability endpoints
- gmartin12612@nychhc.direct-ci.com
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Flushing, NY
- NPI 1013960962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1386743961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 THIRD AVENUE",
"address_2": "MANAGED CARE DEPARTMENT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11220",
"telephone_number": "718-630-7124",
"fax_number": "718-630-7437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 55TH STREET",
"address_2": "LMC PHYSICIAN SERVICES, PC",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11220",
"telephone_number": "718-630-7000",
"fax_number": "718-630-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "GEORGE",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "115717",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "115717",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY",
"identifier": "1000034539 004",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "702496",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P427181",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "115717-A79",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00344812",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "000384680101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE PLUS",
"identifier": "113192423MA10",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "171903",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD",
"identifier": "00115717",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "301258",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.