NPIMap

Individual provider Active NPI

Jeffrey L Martinez, P.A.

  • Physician Assistant
  • Wyomissing, PA
National Provider Identifier
1487610663
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003079L Issued in PA
Practice address
1270 Broadcasting Rd
Wyomissing, PA 19610-3203
Phone
(610) 372-1140
Fax
(610) 372-7684
NPI assigned
Apr 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA003079L PA Primary

Addresses

Primary practice location

1270 Broadcasting Rd
Wyomissing, PA 19610-3203

Mailing address

1270 Broadcasting Rd
Wyomissing, PA 19610-3203
Phone (610) 372-1140

Other identifiers 1

IdentifierTypeStateIssuer
50046110OtherPACAPITAL BC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310000151 PA Practitioner - Physician Assistant 7719875731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2758 Century Blvd
Suite 2
Wyomissing, PA 19610-3358
Phone (610) 376-5646

321 N Furnace St
Birdsboro, PA 19508-2057
Phone (610) 582-2250

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Orthopaedic Specialists LLC CurrentSince Jan 1, 2010 Accepting new patients
St. Joseph Medical Group Past Accepting new patients

Locations

11 Fairlane Rd
Reading, PA 19606
Phone (610) 378-8810

1270 Broadcasting Rd
Wyomissing, PA 19610
Phone (610) 372-1140

2758 Century Blvd
Ste 2
Wyomissing, PA 19610
Phone (610) 376-5646

Interoperability endpoints

  • Direct secure messaging: jeffrey.martinez.1@2277.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487610663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 BROADCASTING RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103203",
            "telephone_number": "610-372-1140",
            "fax_number": "610-372-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 BROADCASTING RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103203",
            "telephone_number": "610-372-1140",
            "fax_number": "610-372-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003079L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC",
            "identifier": "50046110",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.