Organization Active NPI

Donald Martinelli Physician, PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1437556925
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
187901 Issued in NY
Legal business name
DONALD MARTINELLI PHYSICIAN, PC
Practice address
8306 13TH Ave
Brooklyn, NY 11228-3018
Phone
(718) 833-6161
Fax
(718) 491-3483
NPI assigned
Nov 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Donald Martinelli, MDNPI 1710926001
Title
President
Phone
(718) 833-6161

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 187901 NY Primary

Addresses

Primary practice location

8306 13TH Ave
Brooklyn, NY 11228-3018

Mailing address

1270 85TH St
Brooklyn, NY 11228-3310
Phone (718) 833-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150526000037 NY Part B Supplier - Clinic/Group Practice 7911227400 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

8306 13th Ave
Brooklyn, NY 11228
Phone (718) 833-6161

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1437556925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 85TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283310",
            "telephone_number": "718-833-6161",
            "fax_number": "718-491-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8306 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283018",
            "telephone_number": "718-833-6161",
            "fax_number": "718-491-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD MARTINELLI PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "MARTINELLI",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-833-6161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "187901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.