Active NPI
Gloria G Martin, WOMANS HEALTH
- Family Medicine Physician
- Stroudsburg, PA
National Provider Identifier
1720098668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 159042
- Practice address
- 28 N 7TH St
Stroudsburg, PA 18360-2110 - Phone
- (610) 481-0481
- Fax
- (610) 481-0486
- NPI assigned
- Aug 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 159042 | MA | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 159042 | MA |
Addresses
Primary practice location
28 N 7TH St
Stroudsburg, PA 18360-2110
Mailing address
6900 Hamilton Blvd
Trexlertown, PA 18087-9100
Phone (610) 481-0481
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300709 | Other | MA | CMSP-GROUP |
| 1300709 | Medicaid | MA | |
| 58497 | Other | MA | CMSP |
| Y10141 | Other | MA | BCBS-GROUP |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1720098668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 HAMILTON BLVD",
"city": "TREXLERTOWN",
"state": "PA",
"postal_code": "180879100",
"telephone_number": "610-481-0481",
"fax_number": "610-481-0486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 N 7TH ST",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183602110",
"telephone_number": "610-481-0481",
"fax_number": "610-481-0486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "GLORIA",
"middle_name": "G",
"credential": "WOMANS HEALTH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "159042",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MA",
"license": "159042",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMSP-GROUP",
"identifier": "1300709",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300709",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMSP",
"identifier": "58497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-GROUP",
"identifier": "Y10141",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.