Marissa Anne Martino, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F312047 Issued in NY

Practice address

100 Veterans Blvd
Massapequa, NY 11758-4944

Phone

(516) 882-9600

NPI assigned

Mar 31, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Michael Sacher DO PC

  • Specialist
  • Massapequa, NY
  • NPI 1922009893
  NPD

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1649073057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MINEOLA AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642642",
            "telephone_number": "631-827-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VETERANS BLVD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584944",
            "telephone_number": "516-882-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "MARISSA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F312047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Yamileth Martell, LPN
• Ryann Anne Martin, MSED
• Cassandra L Martinez
• Onaysia Dae Martinez, PT, DPT
• Taylor Martinez, PHARMD
• Massapequa Acupuncture P.C.
• Massapequa Dermatology PLLC
• Massapequa Family Pharmacy Corp
• Massapequa Fire District
• Massapequa Massage Therapy, PC

• Adult Health Nurse Practitioner in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.