Lucia Yuma Martin, PA-C
Individual provider Active NPI Physician Assistant · Annandale, NJ
NPI 1902947351 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902947351
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00168400 (NJ)
- Practice address
- 1465 State Route 31 S
Annandale, NJ 08801-3129 - Phone
- (908) 735-5100
- Fax
- (908) 735-0004
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00168400 | NJ | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00168400 | NJ | Yes |
Addresses
Primary practice location
1465 State Route 31 S
Annandale, NJ 08801-3129
Mailing address
PO Box 60
Lansdale, PA 19446-0060
Phone (610) 847-8450
Other providers in Annandale, NJ
- David Lobenebrg
- Andrew Loesberg
- Jon Alan Lyman
- Mark S. Malzberg
- Maya Ashley Manos
- Mary Johanna McGuire
- Michelle Miller
- Tracy L Monaco
- Jessica T Montecino
- Carla Motta
All providers in Annandale, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.