Active NPI
Robert A Martin, M.D.
- Obstetrics & Gynecology Physician
- Princeton, NJ
National Provider Identifier
1487735114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA05149700
- Practice address
- 419 N Harrison St
Suite 201
Princeton, NJ 08540-3521 - Phone
- (609) 924-9300
- Fax
- (609) 430-9481
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA05149700 | NJ | Primary |
Addresses
Primary practice location
419 N Harrison St
Suite 201
Princeton, NJ 08540-3521
Mailing address
419 N Harrison St
Suite 201
Princeton, NJ 08540-3521
Phone (609) 924-9300
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1807656 | Other | NJ | UNITED HLTHCARE-SPECIALTY |
| 2118301 | Medicaid | NJ | |
| 196651 | Other | NJ | AMERIHLTH ADMIN SPECIALTY |
| 898150 | Other | NJ | AETNA-SPECIALTY |
| 160032339 | Other | NJ | RAILROAD MED-SPECIALTY |
| MEP086 | Other | NJ | OXFORD-SPECIALTY |
| 0203911000 | Other | NJ | AMERIHLTH/IBC-SPECIALTY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Medical Group,P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Princeton Medical Group, P.a. | Past | Accepting new patients |
Locations
3 Liberty St
Plainsboro, NJ 08536
Phone (609) 924-9300
419 N Harrison St
Ste 201
Princeton, NJ 08540
Phone (609) 924-9300
419 N Harrison St
Princeton, NJ 08540
Phone (609) 921-9437
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Princeton, NJ
- NPI 1063513679
Obstetrics & Gynecology
-
- Non-Pharmacy Dispensing Site
- Plainsboro, NJ
- NPI 1144617937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1487735114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 N HARRISON ST",
"address_2": "SUITE 201",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403521",
"telephone_number": "609-924-9300",
"fax_number": "609-430-9481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 N HARRISON ST",
"address_2": "SUITE 201",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403521",
"telephone_number": "609-924-9300",
"fax_number": "609-430-9481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA05149700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HLTHCARE-SPECIALTY",
"identifier": "1807656",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2118301",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHLTH ADMIN SPECIALTY",
"identifier": "196651",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-SPECIALTY",
"identifier": "898150",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MED-SPECIALTY",
"identifier": "160032339",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD-SPECIALTY",
"identifier": "MEP086",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHLTH/IBC-SPECIALTY",
"identifier": "0203911000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.