Dominick Michael Martinico

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

7729 W Westwood Dr
Elmwood Park, IL 60707-1804

Phone

(708) 280-7811

NPI assigned

Apr 3, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: dmartinico103501@uihealth.direct-ci.com

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1952006470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7729 W WESTWOOD DR",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607071804",
            "telephone_number": "708-280-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7729 W WESTWOOD DR",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607071804",
            "telephone_number": "708-280-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINICO",
        "first_name": "DOMINICK",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Edita Maier, M.S.
• Malgorzata Elzieta Malkowski
• Luma Ali Mallah
• Lori Marchi
• Bernadetta Martin, LMT
• Amy M McPherson, DPM
• MDC Physicians LTD
• Medical Associates of Illinois SC
• Aditi Mehan
• Kathryn J Mencel, M.D.

• Student in an Organized Health Care Education/Training Program in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.