Individual provider Active NPI

Hunter J. Martin, MD, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New York, NY
National Provider Identifier
1396035507
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
287603 Issued in NY
Practice address
366 5TH Ave RM 709
New York, NY 10001-2211
Phone
(212) 629-3223
NPI assigned
Apr 10, 2011
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 059208 NY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 287603 NY Primary

Addresses

Primary practice location

366 5TH Ave RM 709
New York, NY 10001-2211

Mailing address

366 5TH Ave RM 709
New York, NY 10001-2211
Phone (212) 629-3223

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170717002180 NY Practitioner - Maxillofacial SurgeryPractitioner - Oral SurgeryPractitioner - Dentist 2264702703 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
New York University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
White Hall Dental, PCGroup PAC ID 2567820137, 10 clinicians
Lenox Otolaryngology Head and Neck Surgery PCGroup PAC ID 3072699479, 3 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (516) 304-7362

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7110

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 304-7362

366 5TH Ave
RM 709
New York, NY 10001-2211
Phone (212) 629-3223

400 Community Dr
Manhasset, NY 11030-3815
Phone (516) 562-1300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
059208NYMDOral and Maxillofacial Surgery (Dentist)
287603NYMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Long Island Jewish Healthcare CurrentSince Mar 6, 2021 Accepting new patients
White Hall Dental, PC Oral and Maxillofacial Surgery CurrentSince Jul 1, 2023 Accepting new patients
Lenox Otolaryngology Head & Neck Surgery PC Oral and Maxillofacial Surgery CurrentSince Nov 20, 2020 Accepting new patients
North Shore Long Island Jewish Health Care Inc CurrentSince Mar 6, 2021 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Lenox Hill Hospital Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

10 Medical Plz
Ste 202
Glen Cove, NY 11542
Phone (516) 609-9494

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

186 E 76th St
Fl 2
New York, NY 10021
Phone (212) 327-3000

366 5th Ave
Rm 709
New York, NY 10001
Phone (212) 629-3223

27005 76th Ave
North New Hyde Pk, NY 11040

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: hmartin1047729@nychhc.direct-ci.com
  • Direct secure messaging: hmartin25450@northwell.direct-ci.com

Organizations & group practices 6

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

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": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1396035507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 5TH AVE RM 709",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012211",
            "telephone_number": "212-629-3223",
            "fax_number": "212-629-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 5TH AVE RM 709",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012211",
            "telephone_number": "212-629-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "HUNTER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-10",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "059208",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "287603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.