Fitz Martin

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP021299 Issued in PA

Practice address

1055 E Baltimore Pike Ste 303
Media, PA 19063-5173

Phone

(610) 892-3800

Fax

(267) 282-3872

NPI assigned

Dec 30, 2019

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Beacon of Balance

  • Psychiatric/Mental Health Nurse Practitioner
  • Bryn Mawr, PA
  • NPI 1134006745
  Medicare reassignment NPD Authorized official
• West Phila Community Mental Health Consortium, Inc.

  • Counselor
  • Philadelphia, PA
  • NPI 1194757989
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  PA

  Medicare reassignment NPD
• West Philadelphia Community MH Consortium Inc.

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1245350081
  NPD
• West Philadelphia Community MH Consortium Inc.

  • Methadone Clinic
  • Philadelphia, PA
  • NPI 1669599973
  NPD
• West Philadelphia Community MH Consortium Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Philadelphia, PA
  • NPI 1053438390
  NPD (past)

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1972142669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 422",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190960422",
            "telephone_number": "610-674-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 E BALTIMORE PIKE STE 303",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635173",
            "telephone_number": "610-892-3800",
            "fax_number": "267-282-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "FITZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria C Bucco, DO, PC
• Marna S Barrett PHD LLC
• Susan L Maroto, LCSW
• Rajeev Marreddy, DO
• Michael Marsteller, MA, LAPC, NCC
• Gerald James Martin, PSYD
• Jacqueline S. Martin, MD
• John Harvey Martin Sr., M.D.
• Madeline Martin
• Martina M. Martin, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Media, PA
• Providers in Media, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.