Jessica Felicita Martinez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

804982-01 Issued in NY

Practice address

327 N 10TH St
Prospect Park, NJ 07508-2119

Phone

(216) 507-3555

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1902559412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N 10TH ST",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082119",
            "telephone_number": "216-507-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N 10TH ST",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082119",
            "telephone_number": "216-507-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JESSICA",
        "middle_name": "FELICITA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR22336700",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN460.710",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "804982-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre L Greer
• Jose E Hennandez
• Mohamed Kawam, M.D.
• Abdul Limon
• Marlin A Marte
• Renee Victoria Mendoza
• Rayhan Mohammed Miah
• Jasmin Mieses, MS OTR/L
• Milliennieum Gastroenterology Inc
• New Hope Community Ministries a NJ Nonprofit Corporation

• Registered Nurse in Prospect Park, NJ
• Providers in Prospect Park, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.