Susan Antonina Martino, M.D.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F3045551 Issued in NY

Practice address

Hudson Vista Medical, PC
70 Dubois Street
Newburgh, NY 12550

Phone

(845) 458-4853

Fax

(845) 458-4808

NPI assigned

Jan 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1609051879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HUDSON VISTA MEDICAL, PC",
            "address_2": "70 DUBOIS STREET, 5TH FLOOR ADMIN",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-458-4853",
            "fax_number": "845-458-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HUDSON VISTA MEDICAL, PC",
            "address_2": "70 DUBOIS STREET",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-458-4853",
            "fax_number": "845-458-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "SUSAN",
        "middle_name": "ANTONINA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F3045551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth W Martin, CRNA
• Stephen C Martin, M.D.
• Jose A Martinez, MD
• Rosallyn Martinez
• Serina Martinez
• Alexander Martynov, M.D.
• Russell Marwin, MD
• Linda J Mason, NP
• Michael Jeffrey Mason, PH.D.
• Alicia Victoria Massey, LMSW

• Adult Health Nurse Practitioner in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.