Active NPI
Rolando Alcantara Martinez Jr
- School Registered Nurse
- Long Island City, NY
National Provider Identifier
1699596106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 746949
- Practice address
- 2811 Queens PLZ N FL 5
Long Island City, NY 11101-4172 - Phone
- (718) 391-8300
- NPI assigned
- Oct 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 746949 | NY | Primary |
Addresses
Primary practice location
2811 Queens PLZ N FL 5
Long Island City, NY 11101-4172
Mailing address
2156 Cruger Ave Apt 2B
Bronx, NY 10462-1622
Phone (518) 275-3390
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 |
|---|---|---|---|
| 746949 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1699596106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2156 CRUGER AVE APT 2B",
"city": "BRONX",
"state": "NY",
"postal_code": "104621622",
"telephone_number": "518-275-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 QUEENS PLZ N FL 5",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014172",
"telephone_number": "718-391-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ JR",
"first_name": "ROLANDO",
"middle_name": "ALCANTARA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-18",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "746949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.