Individual provider Active NPI

Erin Elisabeth Marthedal, PA-C

  • Physician Assistant
  • New Brunswick, NJ
National Provider Identifier
1912210238
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00238300 Issued in NJ
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 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

IdentifierTypeStateIssuer
P00981583OtherNJRR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000879 NJ Practitioner - Physician Assistant 3870788110 Reassigns benefits to 1 organization

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
Brunswick Urgent Care P aGroup PAC ID 6406808708, 9 clinicians

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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.