Maria Martinez, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00358300 Issued in NJ

Practice address

53 S Laurel St
Bridgeton, NJ 08302-1946

Phone

(856) 451-4700

Fax

(856) 794-7183

NPI assigned

Jan 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1619366317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PARTRIDGE CT",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083029461",
            "telephone_number": "856-451-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S LAUREL ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021946",
            "telephone_number": "856-451-4700",
            "fax_number": "856-794-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00358300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbigail Taylor Markee
• Anna Marks
• Rita Maroldo, APRN
• Christianna R Martin, LCSW
• Nancy Martin, LCSW
• Eltayeb Idris Massabbal, M. D.
• Gayle A Maxwell, APN
• Glenda Mazza, LPN
• Linda D McBride, DDS
• Andrea McCoy, LPN

• Medical Physician Assistant in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.