Active NPI
Carmen Nereida Martin, LPN
- Licensed Practical Nurse
- Middletown, NY
National Provider Identifier
1609394865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 082444
- Practice address
- 16-24 Union Street
Nursing Office
Middletown, NY 10640 - Phone
- (845) 421-6463
- Fax
- (845) 343-8396
- NPI assigned
- Sep 7, 2017
- Last updated
- Jun 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 082444 | NY | Primary |
Addresses
Primary practice location
16-24 Union Street
Nursing Office
Middletown, NY 10640
Mailing address
16-24 Union Street
Nursing
Middletown, NY 10940
Phone (845) 421-6463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082441 | Other | NY | NYS DOE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082444 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1609394865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16-24 UNION STREET",
"address_2": "NURSING",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "10940",
"telephone_number": "845-421-6463",
"fax_number": "845-343-8396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16-24 UNION STREET",
"address_2": "NURSING OFFICE",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "10640",
"telephone_number": "845-421-6463",
"fax_number": "845-343-8396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CARMEN",
"middle_name": "NEREIDA",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "082444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS DOE",
"identifier": "082441",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.