Organization Active NPI

Kathryn H Martinez PMH-NP Mba LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phillipsburg, NJ
National Provider Identifier
1578327920
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KATHRYN H MARTINEZ PMH-NP MBA LLC
Practice address
402 Coventry Dr
Phillipsburg, NJ 08865-1969
Phone
(908) 339-2147
NPI assigned
Feb 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Kathryn H Martinez, PMHNP-BC MBANPI 1104302827
Title
Nurse Practitioner
Phone
(908) 339-2147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

402 Coventry Dr
Phillipsburg, NJ 08865-1969

Mailing address

127 Union Ave Ste 4
Middlesex, NJ 08846-1039
Phone (908) 339-2147

Other practice location 1

127 Union Ave Ste 2E
Middlesex, NJ 08846-1039
Phone (908) 339-2147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251224000652 NJ Part B Supplier - Clinic/Group Practice 7214379429 Receives reassigned benefits from 1 practitioner
Practice locations: Phillipsburg, NJ

National Provider Directory

National Provider Directory

Locations

127 Union Ave
Ste 4
Middlesex, NJ 08846
Phone (732) 595-7689

127 Union Ave
Ste 2E
Middlesex, NJ 08846
Phone (908) 339-2147

402 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 339-2147

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1578327920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 UNION AVE STE 4",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461039",
            "telephone_number": "908-339-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651969",
            "telephone_number": "908-339-2147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Union Ave Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Middlesex",
            "state": "NJ",
            "postal_code": "088461039",
            "country_code": "US",
            "telephone_number": "908-339-2147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATHRYN H MARTINEZ PMH-NP MBA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "908-339-2147",
        "authorized_official_credential": "PMHNP-BC MBA"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.

Verify at the official NPI Registry.