Active NPI
Janine Demartini
- Counselor
- Staten Island, NY
National Provider Identifier
1477076834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1765 South Ave
Staten Island, NY 10314-3604 - Phone
- (718) 761-9800
- NPI assigned
- Jul 18, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NY | Primary |
Addresses
Primary practice location
1765 South Ave
Staten Island, NY 10314-3604
Mailing address
17A Lovell Ave
Staten Island, NY 10314-4943
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240821002387 | NY | Practitioner - Clinical Social Worker | 1850839804 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canino LCSW Psychotherapy PC | Current | Accepting new patients |
Locations
68 Jay St
Ste 620
Brooklyn, NY 11201
Phone (646) 362-9382
1082 Victory Blvd
Staten Island, NY 10301
Phone (718) 815-3500
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500336000000",
"number": "1477076834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17A LOVELL AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 SOUTH AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143604",
"telephone_number": "718-761-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARTINI",
"first_name": "JANINE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2017-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.