Active NPI
Robert A Martinez
- Prevention Professional
- Brooklyn, NY
National Provider Identifier
1699283002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 365307
- Practice address
- 1281 Saint Johns PL Apt 4
Brooklyn, NY 11213-3714 - Phone
- (347) 909-2585
- NPI assigned
- Jan 19, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 365307 | NY | Primary |
Addresses
Primary practice location
1281 Saint Johns PL Apt 4
Brooklyn, NY 11213-3714
Mailing address
1281 Saint Johns PL Apt 4
Brooklyn, NY 11213-3714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 365307 | NY | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1699283002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1281 SAINT JOHNS PL APT 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112133714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1281 SAINT JOHNS PL APT 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112133714",
"telephone_number": "347-909-2585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ROBERT",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-19",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "NY",
"license": "365307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.