Individual provider Active NPI

Edward Anthony Martinez, FNP-BC, NP-C

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1588096424
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338072 Issued in NY
Practice address
462 1St Ave
Anesthesiology Department 11E2 11TH Floor
New York, NY 10016-9196
Phone
(212) 562-6577
Fax
(212) 263-8643
NPI assigned
Aug 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338072 NY Primary

Addresses

Primary practice location

462 1St Ave
Anesthesiology Department 11E2 11TH Floor
New York, NY 10016-9196

Mailing address

462 1St Ave
11E2 Anesthesiology Department
New York, NY 10016-9196
Phone (212) 562-6511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
338072NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: emartinez679123@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1588096424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 1ST AVE",
            "address_2": "11E2 ANESTHESIOLOGY DEPARTMENT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-562-6511",
            "fax_number": "212-263-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 1ST AVE",
            "address_2": "ANESTHESIOLOGY DEPARTMENT 11E2 11TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-562-6577",
            "fax_number": "212-263-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EDWARD",
        "middle_name": "ANTHONY",
        "credential": "FNP-BC, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.