Individual provider Active NPI

Martha I Lobo Marin, M.D.

  • General Practice Physician
  • Doylestown, PA
National Provider Identifier
1639483092
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17983 Issued in PR
Practice address
3536 Windridge Dr
Doylestown, PA 18902-5429
Phone
(267) 406-3052
NPI assigned
Jul 28, 2010
Last updated
Feb 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17983 PR Primary

Addresses

Primary practice location

3536 Windridge Dr
Doylestown, PA 18902-5429

Mailing address

3536 Windridge Dr
Doylestown, PA 18902-5429
Phone (267) 406-3052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110418000659 PR Practitioner - General Practice 3072797927 Practice locations: Juncos, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Physician Care PSC General Practice PastSince Mar 1, 2011 Accepting new patients

Organizations & group practices 1

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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1639483092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 WINDRIDGE DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189025429",
            "telephone_number": "267-406-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 WINDRIDGE DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189025429",
            "telephone_number": "267-406-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBO MARIN",
        "first_name": "MARTHA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.