Individual provider Active NPI

Janelle Gail Martin, D.C.

  • Chiropractor
  • Depew, NY
National Provider Identifier
1609096700
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011416 Issued in NY
Practice address
4974 Transit Rd
Depew, NY 14043-4616
Phone
(716) 625-9066
Fax
(716) 625-9022
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011416 NY Primary

Addresses

Primary practice location

4974 Transit Rd
Depew, NY 14043-4616

Mailing address

4974 Transit Rd
Depew, NY 14043-4616
Phone (716) 625-9066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080517000014 NY Practitioner - Chiropractic 6406925452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast College of Health SciencesGroup PAC ID 3779474549, 11 clinicians

Practice addresses (Care Compare)

2360 State Route 89
Seneca Falls, NY 13148-9425
Phone (315) 568-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011416NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast College of Health Sciences Chiropractor CurrentSince Nov 1, 2012 Accepting new patients
Northeast College of Health Sciences Chiropractor CurrentSince Nov 1, 2012 Accepting new patients
SNG Chiropractic P.C. Past Accepting new patients

Locations

4974 Transit Rd
Depew, NY 14043
Phone (716) 685-9631

2360 State Route 89
Seneca Falls, NY 13148
Phone (315) 568-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1609096700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4974 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434616",
            "telephone_number": "716-625-9066",
            "fax_number": "716-625-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4974 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434616",
            "telephone_number": "716-625-9066",
            "fax_number": "716-625-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JANELLE",
        "middle_name": "GAIL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.