Individual provider Active NPI

Carmen A Martina, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Haddon Heights, NJ
National Provider Identifier
1952349797
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
25MD00092800 Issued in NJ
Practice address
319 10TH Ave
Haddon Heights, NJ 08035-1835
Phone
(856) 546-6459
Fax
(856) 546-7636
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 25MD00092800 NJ Primary

Addresses

Primary practice location

319 10TH Ave
Haddon Heights, NJ 08035-1835

Mailing address

319 10TH Ave
Haddon Heights, NJ 08035-1835
Phone (856) 546-6459

Other identifiers 1

IdentifierTypeStateIssuer
4858409MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Foot Specialists, Inc Primary Podiatric Medicine PastSince Nov 5, 2010 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1952349797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 10TH AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351835",
            "telephone_number": "856-546-6459",
            "fax_number": "856-546-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 10TH AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351835",
            "telephone_number": "856-546-6459",
            "fax_number": "856-546-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINA",
        "first_name": "CARMEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00092800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4858409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.