Organization Active NPI

Leilanie Martin Family Health NP PLLC

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1750017992
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LEILANIE MARTIN FAMILY HEALTH NP PLLC
Practice address
3850 Hudson Manor Ter Apt 5Ew
Bronx, NY 10463-1171
Phone
(718) 790-0904
NPI assigned
Jul 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Leilanie Martin
Title
Owner
Phone
(718) 790-0904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3850 Hudson Manor Ter Apt 5Ew
Bronx, NY 10463-1171

Mailing address

3850 Hudson Manor Ter Apt 5Ew
Bronx, NY 10463-1171

National Provider Directory

National Provider Directory

Locations

3640 Johnson Ave
Bronx, NY 10463
Phone (718) 790-0904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1750017992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HUDSON MANOR TER APT 5EW",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HUDSON MANOR TER APT 5EW",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631171",
            "telephone_number": "718-790-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEILANIE MARTIN FAMILY HEALTH NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LEILANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-790-0904"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.