Individual provider Active NPI

Martha Torres

  • Medical Physician Assistant
  • Rye, NY
National Provider Identifier
1477030526
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
022303 Issued in NY
Practice address
33 Cedar St Ste 6
Rye, NY 10580-2031
Phone
(914) 251-9110
Fax
(914) 921-4877
NPI assigned
Jul 22, 2018
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 022303 NY Primary

Addresses

Primary practice location

33 Cedar St Ste 6
Rye, NY 10580-2031

Mailing address

11 Greenwood Ave
Port Chester, NY 10573-5018

Other practice location 1

11 Greenwood Ave
Port Chester, NY 10573-5018
Phone (914) 565-5631

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190313002895 NY Practitioner - Physician Assistant 3577803378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

Practice addresses (Care Compare)

10460 Queens Blvd
Suite 1C
Forest Hills, NY 11375-7301
Phone (718) 275-5555

1078 Oaks Dr
FL 2
Franklin Square, NY 11010-1941
Phone (516) 834-2500

271 Doughty Blvd
Inwood, NY 11096-2135
Phone (718) 239-4244

4 Technology Dr
Suite 180
East Setauket, NY 11733-4068
Phone (631) 689-3188

510 Montauk Hwy
West Islip, NY 11795-4422
Phone (631) 587-1132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
022303NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bobby Buka, M.D., P.C. CurrentSince May 1, 2021 Accepting new patients
Derm Specs of PA PLLC PastSince Feb 25, 2024 Accepting new patients
Howard D. Solomon, DO, PC Past Accepting new patients
Anthony Buglino DO PLLC Past Accepting new patients

Locations

1027 46th Ave
Fl 1
Long Island City, NY 11101

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAA
  • Direct secure messaging: mtorres@advderm.emadirect.md

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1477030526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GREENWOOD AVE",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105735018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CEDAR ST STE 6",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802031",
            "telephone_number": "914-251-9110",
            "fax_number": "914-921-4877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Greenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Port Chester",
            "state": "NY",
            "postal_code": "105735018",
            "country_code": "US",
            "telephone_number": "914-565-5631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "MARTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-22",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "022303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.