Individual provider Active NPI

Martyna Devries, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1487102802
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
318893 Issued in NY
Practice address
206 E 119TH St Apt 2C
New York, NY 10035-4110
Phone
(808) 600-4850
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 318893 NY Primary

Addresses

Primary practice location

206 E 119TH St Apt 2C
New York, NY 10035-4110

Mailing address

206 E 119TH St Apt 2C
New York, NY 10035-4110
Phone (808) 600-4850

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927000276 NY Practitioner - Psychiatry 3375915572 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Medical CenterGroup PAC ID 8123914876, 157 clinicians

Practice addresses (Care Compare)

1575 Washington St
Watertown, NY 13601-9371
Phone (315) 779-5060

Hospital & facility affiliations

  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (7 of 11)

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Metropolitan Medical Practice Plan PC General Practice CurrentSince Jul 30, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 11, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 11, 2025 Accepting new patients
Brookview Medical Associates, PLLC General Practice CurrentSince Sep 1, 2023 Accepting new patients
Samaritan Medical Center Past Accepting new patients
Samaritan Medical Center Past Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

1901 1st Ave
Rm 5M44
New York, NY 10029
Phone (212) 423-6262

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Networks

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

Interoperability endpoints

  • Direct secure messaging: mdevries3714415@nychhc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1487102802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E 119TH ST APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354110",
            "telephone_number": "808-600-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E 119TH ST APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354110",
            "telephone_number": "808-600-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "MARTYNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "318893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.