Individual provider Active NPI

Robert David Demartino, BC-HIS

  • Hearing Instrument Specialist
  • Mexico, NY
National Provider Identifier
1396922902
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
14000016330 Issued in NY
Practice address
46 Smithers Rd
Mexico, NY 13114-3350
Phone
(315) 963-1176
NPI assigned
Jan 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 14000016330 NY Primary

Addresses

Primary practice location

46 Smithers Rd
Mexico, NY 13114-3350

Mailing address

46 Smithers Rd
Mexico, NY 13114-3350
Phone (315) 963-1176

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14000016330NYMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1396922902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SMITHERS RD",
            "city": "MEXICO",
            "state": "NY",
            "postal_code": "131143350",
            "telephone_number": "315-963-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SMITHERS RD",
            "city": "MEXICO",
            "state": "NY",
            "postal_code": "131143350",
            "telephone_number": "315-963-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARTINO",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000016330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.