Cheryl D. Martin

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

420290-1 Issued in NY

Legal business name

CHERYL D. MARTIN

Practice address

93 Barretts Ave
Holtsville, NY 11742-2114

Phone

(631) 475-8819

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl D Martin, REGISTERED NURSE

Title

RN

Phone

(631) 475-8819

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1609149335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BARRETTS AVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422114",
            "telephone_number": "631-475-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 BARRETTS AVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422114",
            "telephone_number": "631-475-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL D. MARTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "631-475-8819",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "420290-1",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "420290-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna S Castellano, PT
• Shannon Elizabeth Cattani, CCC-SLP
• Luz Arminda Cervantes, MD
• Noreen Charlip, RN
• Soumitra Chatterjee, M.D.
• Vinod Chhabra, DDS
• Lisa Maria Christy, BA,SI
• Evan Paul Cohen I, M.S. SPECIAL ED.
• Courtney Costello, LCSW
• Christine Marie Cracchiolo

• Nursing Facility/Intermediate Care Facility in Holtsville, NY
• Providers in Holtsville, NY by specialty
• Nursing Facility/Intermediate Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.