Individual provider Active NPI

Lorenzo Giovanni Martinetti, M.D.

  • Family Medicine Physician
  • New Providence, NJ
National Provider Identifier
1588722318
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA04919800 Issued in NJ
Practice address
139 South Street , Suite 201
New Providence, NJ 07974-1945
Phone
(908) 771-9311
Fax
(908) 771-9302
NPI assigned
Dec 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA04919800 NJ Primary

Addresses

Primary practice location

139 South Street , Suite 201
New Providence, NJ 07974-1945

Mailing address

139 South Street , Suite 201
New Providence, NJ 07974-1945
Phone (908) 771-9311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120706000467 NJ Practitioner - Family Practice 5294990743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

139 S St
Suite 201
New Providence, NJ 07974-2928
Phone (908) 771-9311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04919800NJMDFamily Medicine Physician

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, 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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588722318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SOUTH STREET , SUITE 201",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741945",
            "telephone_number": "908-771-9311",
            "fax_number": "908-771-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SOUTH STREET , SUITE 201",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741945",
            "telephone_number": "908-771-9311",
            "fax_number": "908-771-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINETTI",
        "first_name": "LORENZO",
        "middle_name": "GIOVANNI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04919800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

Verify at the official NPI Registry.