Active NPI
John W Martyniuk, PHD., M.D.
- Psychiatry Physician
- Harrisburg, PA
National Provider Identifier
1487947503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD043470L
- Practice address
- 777 East Park Drive
Harrisburg, PA 17105 - Phone
- (717) 558-7819
- Fax
- (717) 558-7818
- NPI assigned
- May 23, 2011
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD043470L | PA | Primary |
Addresses
Primary practice location
777 East Park Drive
Harrisburg, PA 17105
Mailing address
PO Box 8820
777 East Park Drive
Harrisburg, PA 17105
Phone (717) 558-7819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Healthcare Center, P.C. | Psychiatry | Past | Accepting new patients |
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": "1306108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306108800000",
"number": "1487947503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8820",
"address_2": "777 EAST PARK DRIVE",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17105",
"telephone_number": "717-558-7819",
"fax_number": "717-558-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 EAST PARK DRIVE",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17105",
"telephone_number": "717-558-7819",
"fax_number": "717-558-7818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTYNIUK",
"first_name": "JOHN",
"middle_name": "W",
"credential": "PHD., M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-23",
"last_updated": "2011-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD043470L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.