Active NPI
Pedro Nin Martinez, RESPIRATORY THERAPY
- Pulmonary Rehabilitation Registered Respiratory Therapist
- Newton, MA
National Provider Identifier
1629670567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Rehabilitation Registered Respiratory Therapist
- License
- 4169
- Practice address
- 1201 Washington St
Newton, MA 02465-2122 - Phone
- (617) 969-4660
- NPI assigned
- Nov 16, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pulmonary Rehabilitation Registered Respiratory Therapist | 2279P1005X | 4169 | MA | Primary |
Addresses
Primary practice location
1201 Washington St
Newton, MA 02465-2122
Mailing address
1201 Washington St
Newton, MA 02456
Phone (617) 438-4167
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4169 | MA | MD | Pulmonary Rehabilitation Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1629670567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "02456",
"telephone_number": "617-438-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024652122",
"telephone_number": "617-969-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIN MARTINEZ",
"first_name": "PEDRO",
"name_prefix": "Mr.",
"credential": "RESPIRATORY THERAPY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2279P1005X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
"state": "MA",
"license": "4169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.