Active NPI
Cristina Elena Marti Amarista, MD
- Family Medicine Physician
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036165663
- Practice address
- 6101 W 95TH St
Oak Lawn, IL 60453-2735 - Phone
- (708) 261-0831
- Fax
- (773) 790-4077
- NPI assigned
- Mar 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036165663 | IL | Primary |
Addresses
Primary practice location
6101 W 95TH St
Oak Lawn, IL 60453-2735
Mailing address
6101 W 95TH St
Oak Lawn, IL 60453-2735
Phone (708) 261-0831
Other names 1
- Cristina Marti-Amarista
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036165663 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital at Stony Brook | Current | Accepting new patients | |
| PMR Illinois Holding, LLC | Current | Accepting new patients | |
| Jencare Neighborhood Medical Center South Chicago, LLC | Past | Accepting new patients | |
| Jencare Neighborhood Medical Center Berwyn, LLC | Past | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
6326 Cermak Rd
Berwyn, IL 60402
Phone (708) 303-9234
2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700
2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700
6101 W 95th St
Oak Lawn, IL 60453
Phone (708) 261-0831
26 Research Way
East Setauket, NY 11733
Phone (631) 444-0502
101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Interoperability endpoints
- cristina.martiamarista@direct.stonybrookmedicine.edu
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Specialist
- Berwyn, IL
- NPI 1811230014
-
- Specialist
- Chicago, IL
- NPI 1164768354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1396249967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532735",
"telephone_number": "708-261-0831",
"fax_number": "773-790-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532735",
"telephone_number": "708-261-0831",
"fax_number": "773-790-4077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTI AMARISTA",
"first_name": "CRISTINA",
"middle_name": "ELENA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-20",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036165663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTINA",
"last_name": "MARTI-AMARISTA",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.