Individual provider Active NPI

Marlen Elizabeth Martinez, NP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1629543038
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342604 Issued in NY
Practice address
1555 Westchester Ave
Bronx, NY 10472-2910
Phone
(718) 765-6367
Fax
(347) 523-8127
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342604 NY Primary

Addresses

Primary practice location

1555 Westchester Ave
Bronx, NY 10472-2910

Mailing address

1555 Westchester Ave
Bronx, NY 10472-2910
Phone (718) 765-6357

Other practice location 1

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 618-0401

Other names 1

  • Marlen Elizabeth Martinez Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125000641 NY Practitioner - Nurse Practitioner 1355688524 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffin Myers Medical PCGroup PAC ID 5294145017, 78 clinicians

Practice addresses (Care Compare)

1555 Westchester Ave
Bronx, NY 10472-2910
Phone (718) 765-6367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
342604NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
E & a Medical Solutions LLC CurrentSince Aug 1, 2019 Accepting new patients
Mihail Medvedovsky Physician PC Family Medicine CurrentSince Dec 1, 2018 Accepting new patients
Essen Medical Associates, PC CurrentSince Oct 22, 2019 Accepting new patients
Oak Street Health of New York Medical Group PC Family Medicine CurrentSince Sep 12, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Sep 5, 2020 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Oct 22, 2019 Accepting new patients
Echenique Medical Office PC CurrentSince Dec 1, 2020 Accepting new patients
Essen Medical Associates, PC CurrentSince Oct 22, 2019 Accepting new patients

Locations

1555 Westchester Ave
Bronx, NY 10472
Phone (718) 765-6367

1434 Williamsbridge Rd
Bronx, NY 10461
Phone (646) 759-5453

811 Southern Blvd
Bronx, NY 10459
Phone (347) 326-8999

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550

3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

4405 Broadway
New York, NY 10040
Phone (212) 740-2020

51 E 125th St
Frnt 2
New York, NY 10035
Phone (646) 585-1515

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1629543038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722910",
            "telephone_number": "718-765-6357",
            "fax_number": "347-523-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722910",
            "telephone_number": "718-765-6367",
            "fax_number": "347-523-8127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104534303",
            "country_code": "US",
            "telephone_number": "718-618-0401",
            "fax_number": "718-299-6797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARLEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLEN",
            "last_name": "MARTINEZ",
            "middle_name": "ELIZABETH",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.