Individual provider Active NPI

Amaury A Martinez Garcia, M.D.

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
National Provider Identifier
1780099457
Registry record updated Jun 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
237 W 20TH St Apt 1B
New York, NY 10011-3575
Phone
(917) 678-7661
NPI assigned
Jun 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

237 W 20TH St Apt 1B
New York, NY 10011-3575

Mailing address

237 W 20TH St Apt 1B
New York, NY 10011-3575
Phone (917) 678-7661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114000358 NJ Practitioner - Plastic and Reconstructive Surgery 0749714665 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Samra Plastic and Reconstructive Surgery LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

733 N Beers St
Ste U1
Holmdel, NJ 07733
Phone (732) 739-2100

300 Perrine Rd
Ste 333
Old Bridge, NJ 08857
Phone (732) 289-9335

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": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403308800000",
    "number": "1780099457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 W 20TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113575",
            "telephone_number": "917-678-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W 20TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113575",
            "telephone_number": "917-678-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ GARCIA",
        "first_name": "AMAURY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-21",
        "last_updated": "2014-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.