Organization Active NPI

Mountaintop Medical LLC

  • Infectious Disease Physician
  • Watchung, NJ
National Provider Identifier
1922048446
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25 MA07428100 Issued in NJ
Legal business name
MOUNTAINTOP MEDICAL LLC
Practice address
775 Mountain Blvd
Watchung, NJ 07069-6262
Phone
(732) 764-9392
Fax
(732) 764-9392
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Homar Amador Martinez, MD
Title
Physician
Phone
(732) 764-9392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 25 MA07428100 NJ Primary

Addresses

Primary practice location

775 Mountain Blvd
Watchung, NJ 07069-6262

Mailing address

859 Newmans LN
Martinsville, NJ 08836-2139
Phone (732) 764-9392

National Provider Directory

National Provider Directory

Locations

775 Mountain Blvd
Watchung, NJ 07069
Phone (732) 764-9392

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1922048446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 NEWMANS LN",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362139",
            "telephone_number": "732-764-9392",
            "fax_number": "732-764-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 MOUNTAIN BLVD",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696262",
            "telephone_number": "732-764-9392",
            "fax_number": "732-764-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINTOP MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "HOMAR",
        "authorized_official_middle_name": "AMADOR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-764-9392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25 MA07428100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.