Individual provider Active NPI

Ian Martinez, M.D.

  • Family Medicine Physician
  • Washington, NJ
National Provider Identifier
1396176533
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09730600 Issued in NJ
Practice address
6 Club House Dr
Washington, NJ 07882-2212
Phone
(908) 237-4144
Fax
(908) 237-4137
NPI assigned
Dec 12, 2013
Last updated
Dec 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09730600 NJ Primary

Addresses

Primary practice location

6 Club House Dr
Washington, NJ 07882-2212

Mailing address

6 Club House Dr
Washington, NJ 07882-2212
Phone (908) 237-4144

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160706000295 NJ Practitioner - Family Practice 4688966013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hunterdon Primary Care PCGroup PAC ID 4486951183, 62 clinicians

Practice addresses (Care Compare)

1738 RT 31
Suite 203
Clinton, NJ 08809
Phone (908) 735-4645

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Primary Care PC Family Medicine CurrentSince Jan 2, 2019 Accepting new patients
Hunterdon Primary Care PC Family Medicine Current Accepting new patients
Robert Wood Johnson Physician Enterprise Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Hunterdon Primary Care, PC Family Medicine CurrentSince Jan 2, 2019 Accepting new patients
Summit Oaks Hospital Inc Past Accepting new patients
St. Luke's Warren Hospital, Inc. Past Accepting new patients
Hunterdon Medical Center Past Accepting new patients

Locations

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

215 State Route 31
#116
Flemington, NJ 08822

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

62 E Mill Rd
Long Valley, NJ 07853
Phone (908) 876-9000

84 Route 31 N
Ste 103
Pennington, NJ 08534
Phone (609) 730-1771

207 Strykers Rd
Phillipsburg, NJ 08865
Phone (908) 847-6568

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

6 Club House Dr
Washington, NJ 07882
Phone (908) 237-4144

6 Club House Dr
Ste 102
Washington, NJ 07882
Phone (908) 237-4144

Interoperability endpoints

  • Direct secure messaging: ian.martinez.p112@direct.hunterdon.nextgenshare.com
  • Direct secure messaging: ian.martinez.p117@direct.hunterdon.nextgenshare.com

Organizations & group practices 7

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": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1396176533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CLUB HOUSE DR",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078822212",
            "telephone_number": "908-237-4144",
            "fax_number": "908-237-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CLUB HOUSE DR",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078822212",
            "telephone_number": "908-237-4144",
            "fax_number": "908-237-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-12",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09730600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NJ

Sources for this page

Verify at the official NPI Registry.