Active NPI
Erin Elisabeth Marthedal, PA-C
- Physician Assistant
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00238300
- Practice address
- 1 Robert Wood Johnson PL
Meb 104
New Brunswick, NJ 08901-1928 - Phone
- (732) 235-8717
- Fax
- (732) 235-7379
- NPI assigned
- Jul 15, 2010
- Last updated
- Mar 17, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00238300 | NJ | Primary |
Addresses
Primary practice location
1 Robert Wood Johnson PL
Meb 104
New Brunswick, NJ 08901-1928
Mailing address
47 Mercer St Apt 3a
Jersey City, NJ 07302-5530
Phone (559) 940-2606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00981583 | Other | NJ | RR MCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3185 Route 27
Franklin Park, NJ 08823-1313
Phone (732) 422-4889
3185 RT
Suite 27
Franklin Park, NJ 08823-1313
641 State Route 18
East Brunswick, NJ 08816-3721
Phone (732) 955-6765
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- erin.marthedal.1@31891.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Franklin Park, NJ
- NPI 1366528341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1912210238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 MERCER ST APT 3A",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073025530",
"telephone_number": "559-940-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROBERT WOOD JOHNSON PL",
"address_2": "MEB 104",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011928",
"telephone_number": "732-235-8717",
"fax_number": "732-235-7379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTHEDAL",
"first_name": "ERIN",
"middle_name": "ELISABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00238300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00981583",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.