Individual provider Active NPI

Damian Joseph Martino, M.D.

  • Pain Medicine Physician
  • Astoria, NY
National Provider Identifier
1659537041
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
246439 Issued in NY
Practice address
3272 Steinway St Ste B01
Astoria, NY 11103-4183
Phone
(917) 485-1905
Fax
(917) 456-0437
NPI assigned
Aug 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 246439 NY Primary

Addresses

Primary practice location

3272 Steinway St Ste B01
Astoria, NY 11103-4183

Mailing address

3601 31St Ave Ste 1B
Astoria, NY 11106-1051
Phone (917) 485-1905

Other identifiers 1

IdentifierTypeStateIssuer
246439OtherNYNY LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140416002013 NY Practitioner - Pain Management 4880731066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3272 Steinway St
Suite B01
Astoria, NY 11103-4183
Phone (917) 485-1905

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Damian J. Martino MD PC CurrentSince Apr 23, 2013 Accepting new patients

Locations

3601 31st Ave
Ste 1B
Astoria, NY 11106

3272 Steinway St
Ste B01
Astoria, NY 11103
Phone (917) 485-1905

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1659537041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 31ST AVE STE 1B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061051",
            "telephone_number": "917-485-1905",
            "fax_number": "917-456-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 STEINWAY ST STE B01",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034183",
            "telephone_number": "917-485-1905",
            "fax_number": "917-456-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "DAMIAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "246439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "246439",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.