Individual provider Active NPI

Martiny St. Juste, CEO

  • Home Health Registered Respiratory Therapist
  • Huntington Station, NY
National Provider Identifier
1770905309
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered Respiratory TherapistTaxonomy code 2279H0200X
License
004163 Issued in NY
Practice address
1564 New York Ave
Huntington Station, NY 11746-1727
Phone
(631) 421-6148
NPI assigned
Jan 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Respiratory Therapist 2279H0200X 004163 NY Primary

Addresses

Primary practice location

1564 New York Ave
Huntington Station, NY 11746-1727

Mailing address

139 N 17TH St
Wheatley Heights, NY 11798-1816
Phone (631) 880-0961

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

State licenses

LicenseStateTypeSpecialty
004163NYMDHome Health Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Luce Respiratory Therapy PLLC Home Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1770905309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N 17TH ST",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117981816",
            "telephone_number": "631-880-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461727",
            "telephone_number": "631-421-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JUSTE",
        "first_name": "MARTINY",
        "name_prefix": "Mr.",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "NY",
            "license": "004163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.