Active NPI
Jose A Martinez, MD
- Addiction Medicine (Internal Medicine) Physician
- Newburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 179860
- Practice address
- 3 Commercial PL
Newburgh, NY 12550-5306 - Phone
- (845) 220-2146
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 179860 | NY | Primary |
Addresses
Primary practice location
3 Commercial PL
Newburgh, NY 12550-5306
Mailing address
2570 Route 9W Ste 10
Cornwall, NY 12518-1370
Phone (845) 220-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01317660 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179860 | NY | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Family Healthcare | Current | Accepting new patients | |
| Symphony Medical PC | Current | Accepting new patients | |
| Cornerstone Family Healthcare | Current | Accepting new patients | |
| Symphony Medical PC | Current | Accepting new patients | |
| Medical Network Services PC | Past | Accepting new patients |
Locations
2570 US Highway 9W
Ste 10
Cornwall, NY 12518
Phone (845) 220-3100
3 Commercial Pl
Newburgh, NY 12550
Phone (845) 220-2146
147 Lake St
Newburgh, NY 12550
Phone (845) 416-4325
1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965
967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGCECD
- https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Newburgh, NY
- NPI 1689669079
-
- Hospitalist Physician
- Dobbs Ferry, NY
- NPI 1659787653
-
- Federally Qualified Health Center (FQHC)
- Newburgh, NY
- NPI 1114757515
-
- Orthopaedic Surgery Physician
- Dobbs Ferry, NY
- NPI 1023600327
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1871507731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619072154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 ROUTE 9W STE 10",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125181370",
"telephone_number": "845-220-3100",
"fax_number": "845-534-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 COMMERCIAL PL",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505306",
"telephone_number": "845-220-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JOSE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "NY",
"license": "179860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01317660",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.