Individual provider Active NPI

Martina Lina Amaturo, PA

  • Physician Assistant
  • Holmdel, NJ
National Provider Identifier
1881445310
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
STUDENT Issued in NJ
Practice address
2107 Route 35
Holmdel, NJ 07733-2795
Phone
(732) 706-5437
NPI assigned
Apr 1, 2024
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X STUDENT NJ Primary

Addresses

Primary practice location

2107 Route 35
Holmdel, NJ 07733-2795

Mailing address

23 Samantha Dr
Morganville, NJ 07751-4008
Phone (732) 618-9713

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
STUDENTNJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1881445310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SAMANTHA DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514008",
            "telephone_number": "732-618-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 ROUTE 35",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332795",
            "telephone_number": "732-706-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATURO",
        "first_name": "MARTINA",
        "middle_name": "LINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "STUDENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.