Michael Gary Martin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

278086 Issued in NY

Practice address

670 State St
Albany, NY 12203-1217

Phone

(518) 637-6372

NPI assigned

Oct 18, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1760203111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 STATE ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031217",
            "telephone_number": "518-637-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 STATE ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031217",
            "telephone_number": "518-637-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHAEL",
        "middle_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "278086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jovana Yanique Martin, MD
• Katelyn Martin, DNP
• Lorraine E. Martin, R.N.,B.S.N. CDE
• Martha Anna Martin, L.P.N.
• Mary Elaine Martin, PH.D.
• Olga Martin, PA
• Seaver Koufax Martin, PT
• Shaine Carrie Martin, AUD
• Timothy Charles Martin, D.O.
• Martin's Foods of South Burlington, LLC (Hannaford Pharmacy Central Processing 89307)

• Licensed Practical Nurse in Albany, NY
• Providers in Albany, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.