Active NPI
Gabriella Martinez
- Medical Physician Assistant
- New York, NY
National Provider Identifier
1679238109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 027606
- Practice address
- 30 Rockefeller PLZ Ste 924E
New York, NY 10112-0015 - Phone
- (212) 664-2322
- NPI assigned
- Oct 31, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 027606 | NY | Primary |
Addresses
Primary practice location
30 Rockefeller PLZ Ste 924E
New York, NY 10112-0015
Mailing address
1523 Voorhies Ave
Brooklyn, NY 11235-3912
Other names 1
- Ms. Gabriella Nicole Martinez Oliveras
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Medcor |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027606 | NY | MD | Medical Physician Assistant |
Interoperability endpoints
- gabriella.martinez.p28@direct.medcor.nextgenshare.com
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": "1635638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1679238109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1523 VOORHIES AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 ROCKEFELLER PLZ STE 924E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101120015",
"telephone_number": "212-664-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "GABRIELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-31",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "027606",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Medcor",
"affiliation": "N",
"address_1": "30 Rockefeller Plz Ste 924E",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "101120015",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GABRIELLA",
"last_name": "MARTINEZ OLIVERAS",
"middle_name": "NICOLE",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.