Active NPI
Anthony P. Martyak, M.D.
- Ophthalmology Physician
- Aiea, HI
National Provider Identifier
1760596498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD-3375
- Practice address
- 98-151 Pali Momi St
Suite 142
Aiea, HI 96701-4300 - Phone
- (808) 483-6400
- Fax
- (808) 483-6087
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD-3375 | HI | Primary |
Addresses
Primary practice location
98-151 Pali Momi St
Suite 142
Aiea, HI 96701-4300
Mailing address
98-151 Pali Momi St
Suite 142
Aiea, HI 96701-4300
Phone (808) 483-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-3375 | HI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients |
Locations
98-151 Pali Momi St
Ste 142
Aiea, HI 96701
Phone (808) 483-6400
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
1946 Young St
Ste 320
Honolulu, HI 96826
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Straub Benioff Medical Center
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
dba Hawaii Pacific Health Specialty Pharmacy
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1760596498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-151 PALI MOMI ST",
"address_2": "SUITE 142",
"city": "AIEA",
"state": "HI",
"postal_code": "967014300",
"telephone_number": "808-483-6400",
"fax_number": "808-483-6087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-151 PALI MOMI ST",
"address_2": "SUITE 142",
"city": "AIEA",
"state": "HI",
"postal_code": "967014300",
"telephone_number": "808-483-6400",
"fax_number": "808-483-6087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTYAK",
"first_name": "ANTHONY",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "HI",
"license": "MD-3375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.