Active NPI
Martin Irwin, M.D.
- Psychiatry Physician
- Tarrytown, NY
National Provider Identifier
1427235993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 174046-1
- Practice address
- 455 Martling Ave
Tarrytown, NY 10591-4715 - Phone
- (315) 727-1825
- NPI assigned
- Jan 28, 2008
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 174046-1 | NY | Primary |
Addresses
Primary practice location
455 Martling Ave
Tarrytown, NY 10591-4715
Mailing address
455 Martling Ave
Tarrytown, NY 10591-4715
Phone (315) 727-1825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151118001873 | NY | Order and Referring Only - Psychiatry | 8820398167 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174046-1 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1427235993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 MARTLING AVE",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105914715",
"telephone_number": "315-727-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 MARTLING AVE",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105914715",
"telephone_number": "315-727-1825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-28",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "174046-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.