Shannon P Martinello, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

37763 Issued in CT

Practice address

303 Whitney Ave
New Haven, CT 06511-7204

Phone

(203) 397-1243

Fax

(203) 397-1241

NPI assigned

Apr 18, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.martinello.1@11240.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Child and Adolescent Health Care

  • Pediatrics Physician
  • New Haven, CT
  • NPI 1679545693

  Pediatrics

  NPD
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1639134232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065117204",
            "telephone_number": "203-397-1243",
            "fax_number": "203-397-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065117204",
            "telephone_number": "203-397-1243",
            "fax_number": "203-397-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINELLO",
        "first_name": "SHANNON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "37763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001377630",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica M Martin, CRNA
• Taylor Martin
• Thomas V. Martin, M.D.
• Victor Martin, MD
• Richard Anthony Martinello, MD
• Emmanuel Martinez Alcaraz, MD
• Daisy Martinez-Dicarlo, M.A.
• Andrew Steven Martinez, MS, DO
• Philip Robert Martinez, APRN, MSN
• Randy Martinez, RPH

• All providers in New Haven, CT
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.