Keith H Martinez, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05187400 Issued in NJ

Practice address

1 Corbett Way
Eatontown, NJ 07724-4247

Phone

(732) 380-7061

Fax

(732) 380-7508

NPI assigned

Dec 30, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Recovery Innovations, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Eatontown, NJ
  • NPI 1487771341
  Medicare reassignment NPD Authorized official
• Recovery Innovations, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Eatontown, NJ
  • NPI 1811856503
  NPD Authorized official

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

{
    "created_epoch": "1356825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1447596028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORBETT WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244247",
            "telephone_number": "732-380-7061",
            "fax_number": "732-380-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CORBETT WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244247",
            "telephone_number": "732-380-7061",
            "fax_number": "732-380-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KEITH",
        "middle_name": "H",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-30",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00155000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05187400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Heather Marcaly, PSYD
• Andrew E. Marino, MD
• Markbreiter Orthopedics PC
• Marron Family Wellness Center LLC
• Deborah Lynn Martin, MA,L.P.C.,L.C.A.D.C
• Nicole Martinez, CADC
• Victoria Cassandra Martinez, M.A., CCC-SLP
• Alexa Martucci, SLP
• Mark Adrian Mascarenhas, MD.
• Jonathan Mason, LCSW

• Clinical Social Worker in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.