Active NPI
Anita-Kay Martin, M.D.
- Obstetrics & Gynecology Physician
- Hollis, NY
National Provider Identifier
1609971282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 182057
- Practice address
- 20507 Hillside Ave Ste 28
Hollis, NY 11423-2220 - Phone
- (347) 661-1125
- Fax
- (718) 217-9334
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 182057 | NY | Primary |
Addresses
Primary practice location
20507 Hillside Ave Ste 28
Hollis, NY 11423-2220
Mailing address
20507 Hillside Ave Ste 28
Hollis, NY 11423-2220
Phone (718) 217-9207
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100120588801 | Other | NY | UNITEDHEALTHCARE MEDICADE |
| 113616881 | Other | NY | MULTIPLAN |
| 1205888 | Other | NY | UNITED HEALTH CARE |
| 113616881 | Other | NY | 1199 |
| 4C0398 | Other | NY | HEALTHNET /PHS |
| 468C72 | Other | NY | EMPIRE BC/BS |
| P560962/1 | Other | NY | OXFORD |
| 0740446006 | Other | NY | CIGNA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182057 | NY | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1609971282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20507 HILLSIDE AVE STE 28",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114232220",
"telephone_number": "718-217-9207",
"fax_number": "718-217-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20507 HILLSIDE AVE STE 28",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114232220",
"telephone_number": "347-661-1125",
"fax_number": "718-217-9334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ANITA-KAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "182057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE MEDICADE",
"identifier": "100120588801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "113616881",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1205888",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199",
"identifier": "113616881",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET /PHS",
"identifier": "4C0398",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "468C72",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P560962/1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0740446006",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.