Individual provider Active NPI

Chisell Martorell, NP

  • Women's Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1720509300
Registry record updated Jul 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421289 Issued in NY
Practice address
22 E 108TH St
New York, NY 10029-3858
Phone
(917) 693-8001
Fax
(917) 693-8001
NPI assigned
Jul 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X 421289 NY Primary

Addresses

Primary practice location

22 E 108TH St
New York, NY 10029-3858

Mailing address

22 E 108TH St
New York, NY 10029-3858
Phone (917) 693-8001

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
421289NYMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499126400000",
    "number": "1720509300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 E 108TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293858",
            "telephone_number": "917-693-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E 108TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293858",
            "telephone_number": "917-693-8001",
            "fax_number": "917-693-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTORELL",
        "first_name": "CHISELL",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-04",
        "last_updated": "2017-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.