Active NPI
Dominic Francis Martelli
- Art Therapist
- Sicklerville, NJ
National Provider Identifier
1417327974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Practice address
- 439 Church Rd.
Apt. 103
Sicklerville, NJ 08081-2621 - Phone
- (609) 540-0100
- NPI assigned
- Sep 28, 2015
- Last updated
- Sep 28, 2015
- 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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | NU | Primary |
Addresses
Primary practice location
439 Church Rd.
Apt. 103
Sicklerville, NJ 08081-2621
Mailing address
439 Church Rd.
Apt. 103
Sicklerville, NJ 08081-2621
Phone (609) 540-0100
Other names 1
- Mr. Dominic Martelli Jr.
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1417327974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 CHURCH RD.",
"address_2": "APT. 103",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080812621",
"telephone_number": "609-540-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 CHURCH RD.",
"address_2": "APT. 103",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080812621",
"telephone_number": "609-540-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTELLI",
"first_name": "DOMINIC",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-28",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOMINIC",
"last_name": "MARTELLI",
"prefix": "MR.",
"suffix": "JR.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.