Martin Ajax Chrisphonte, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

190294 Issued in NY

Practice address

750 Fulton St
Farmingdale, NY 11735-3642

Phone

(631) 249-2765

Fax

(631) 249-3617

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Comprehensive Behavioral Medical Care PC

  • General Practice Physician
  • Farmingdale, NY
  • NPI 1972671592

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1619962966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FULTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353642",
            "telephone_number": "631-249-2765",
            "fax_number": "631-249-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FULTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353642",
            "telephone_number": "631-249-2765",
            "fax_number": "631-249-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISPHONTE",
        "first_name": "MARTIN",
        "middle_name": "AJAX",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "190294",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME85871",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "190294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01810975",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric S Chimon, DDS
• Sunny Cho, RPH
• Jenifer Chowdhury
• Sumaiya Chowdhury, PHARM.D.
• Josiane Chrisphonte, D.M.D.
• Pascale Chrisphonte, MD
• Andrea Michele Chrissides, RN, BSN
• Toniann Christie
• CHS Physician Partners, PC
• Jose Chuquiruna, CASAC

• Psychiatry Physician in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.