Active NPI
Carlos Javier Martinez, O.D.
- Optometrist
- Bound Brook, NJ
National Provider Identifier
1407948599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00490200
- Practice address
- 16 Maiden LN
Bound Brook, NJ 08805-2024 - Phone
- (732) 748-9001
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00490200 | NJ | Primary |
Addresses
Primary practice location
16 Maiden LN
Bound Brook, NJ 08805-2024
Mailing address
515 W 2ND St
Bound Brook, NJ 08805-1842
Phone (908) 227-1485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3407608 | Medicaid | NJ |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1407948599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W 2ND ST",
"city": "BOUND BROOK",
"state": "NJ",
"postal_code": "088051842",
"telephone_number": "908-227-1485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MAIDEN LN",
"city": "BOUND BROOK",
"state": "NJ",
"postal_code": "088052024",
"telephone_number": "732-748-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "CARLOS",
"middle_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00490200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3407608",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bound Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.