Active NPI
Carmen M Martinez, OTR
- Health Educator
- Newark, NJ
National Provider Identifier
1780966457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 46TR00150100
- Practice address
- 65 Bergen St
Newark, NJ 07107-3001 - Phone
- (973) 972-4276
- NPI assigned
- Sep 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 46TR00150100 | NJ | Primary |
Addresses
Primary practice location
65 Bergen St
Newark, NJ 07107-3001
Mailing address
165 Stephens St
Belleville, NJ 07109-3140
Phone (973) 855-9711
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00150100 | NJ | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1780966457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 STEPHENS ST",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071093140",
"telephone_number": "973-855-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 BERGEN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071073001",
"telephone_number": "973-972-4276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "CARMEN",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NJ",
"license": "46TR00150100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.