Individual provider Active NPI

Sonia Rivera Martinez, DO

  • Family Medicine Physician
  • Central Islip, NY
National Provider Identifier
1902869555
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
229958 Issued in NY
Practice address
267 Carleton Ave
Family Health Care Center, Ny Institute of Technology
Central Islip, NY 11722-4543
Phone
(631) 348-3254
Fax
(631) 348-3031
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 229958 NY Primary

Addresses

Primary practice location

267 Carleton Ave
Family Health Care Center, Ny Institute of Technology
Central Islip, NY 11722-4543

Mailing address

267 Carleton Ave
Family Health Care Center, Ny Institute of Technology
Central Islip, NY 11722-4543
Phone (631) 348-3254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050510000241 NY Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 2567402563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Institute of TechnologyGroup PAC ID 3779496039, 42 clinicians

Practice addresses (Care Compare)

267 Carleton Ave
Central Islip, NY 11722-4543
Phone (631) 348-3254

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229958NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Institute of Technology Family Medicine CurrentSince Apr 26, 2010 Accepting new patients
New York Institute of Technology Family Medicine Current Accepting new patients
New York Institute of Technology Family Medicine CurrentSince Apr 26, 2010 Accepting new patients

Locations

250 Carleton Ave
Central Islip, NY 11722
Phone (631) 348-3254

267 Carleton Ave
Central Islip, NY 11722
Phone (631) 348-3254

600 Northern Blvd
Greenvale, NY 11548
Phone (516) 686-3849

16 Atlantic Ave
Fl 2
Lynbrook, NY 11563

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: sonia.riveramartinez@nyitahcc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGDFBD/Endpoint/CGDFBD

Organizations & group practices 3

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1902869555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 CARLETON AVE",
            "address_2": "FAMILY HEALTH CARE CENTER, NY INSTITUTE OF TECHNOLOGY",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224543",
            "telephone_number": "631-348-3254",
            "fax_number": "631-348-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 CARLETON AVE",
            "address_2": "FAMILY HEALTH CARE CENTER, NY INSTITUTE OF TECHNOLOGY",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224543",
            "telephone_number": "631-348-3254",
            "fax_number": "631-348-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MARTINEZ",
        "first_name": "SONIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "229958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

Verify at the official NPI Registry.