Individual provider Active NPI

Antoinette P. Martinez, P.A.

  • Physician Assistant
  • New York, NY
National Provider Identifier
1518133388
Registry record updated Mar 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
012084 Issued in NY
Practice address
170 William St
New York, NY 10038-2612
Phone
(212) 312-5070
NPI assigned
May 1, 2008
Last updated
Mar 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2018

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 012084 NY Primary

Addresses

Primary practice location

170 William St
New York, NY 10038-2612

Mailing address

477 Commonwealth Ave
Bronx, NY 10473-3602
Phone (917) 613-6714

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081229000229 NY Practitioner - Physician Assistant 4981766912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1470 Metropolitan Ave
Bronx, NY 10462-7446
Phone (718) 571-9270

1613 Westchester Ave
Bronx, NY 10472-2914
Phone (718) 571-9407

2178 White Plains Rd
Bronx, NY 10462-1406
Phone (718) 489-3555

2902 3Rd Ave
Bronx, NY 10455-2601
Phone (718) 571-9276

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

48 E 170TH St
Bronx, NY 10452-7013
Phone (718) 571-9313

571 E 138TH St
Bronx, NY 10454-2702
Phone (718) 571-9421

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012084NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Oct 27, 2018 Accepting new patients
Weill Medical College of Cornell CurrentSince Apr 14, 2014 Accepting new patients
Weill Medical College of Cornell CurrentSince Apr 14, 2014 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Oct 27, 2018 Accepting new patients
New York Downtown Hospital FPP Past Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

170 William St
New York, NY 10038
Phone (212) 238-0100

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Interoperability endpoints

  • Direct secure messaging: antoinette.martinez.1@2983.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522454400000",
    "number": "1518133388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 COMMONWEALTH AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733602",
            "telephone_number": "917-613-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WILLIAM ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382612",
            "telephone_number": "212-312-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANTOINETTE",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2018-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.