Active NPI
David J Martini MD
- Surgery Physician
- Salem, MA
National Provider Identifier
1437148715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 39883
- Legal business name
- DAVID J MARTINI MD
- Practice address
- 79 Highland Ave
Suite 3
Salem, MA 01970-2711 - Phone
- (978) 744-2182
- Fax
- (978) 741-7667
- NPI assigned
- Oct 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David J Martini, MD
- Title
- President
- Phone
- (978) 744-2182
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 39883 | MA | Primary |
Addresses
Primary practice location
79 Highland Ave
Suite 3
Salem, MA 01970-2711
Mailing address
460 Totten Pond Rd
C/O Mzi
Waltham, MA 02451-1991
Phone (781) 890-9933
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2058162 | Medicaid | MA | |
| M09597 | Other | MA | BCBS |
| 705904 | Other | MA | TUFTS |
| 8913 | Other | MA | HPHC |
National Provider Directory
National Provider DirectoryLocations
79 Highland Ave
Ste 3
Salem, MA 01970
Phone (978) 744-2182
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Danvers, MA
- NPI 1417946799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437148715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 TOTTEN POND RD",
"address_2": "C/O MZI",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511991",
"telephone_number": "781-890-9933",
"fax_number": "781-890-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 HIGHLAND AVE",
"address_2": "SUITE 3",
"city": "SALEM",
"state": "MA",
"postal_code": "019702711",
"telephone_number": "978-744-2182",
"fax_number": "978-741-7667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J MARTINI MD",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARTINI",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-744-2182",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MA",
"license": "39883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2058162",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M09597",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "705904",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "8913",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.