Active NPI
Andrey Martynov
- Technician/Technologist
- Belleville, NJ
National Provider Identifier
1972190528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- Practice address
- 15 Newark Ave Ste 2
Belleville, NJ 07109-1123 - Phone
- (732) 844-9220
- Fax
- (732) 844-9221
- NPI assigned
- Dec 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | Primary |
Addresses
Primary practice location
15 Newark Ave Ste 2
Belleville, NJ 07109-1123
Mailing address
2540 Ocean Ave Apt D6
Brooklyn, NY 11229-3921
Phone (939) 327-6360
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1972190528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 OCEAN AVE APT D6",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293921",
"telephone_number": "939-327-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 NEWARK AVE STE 2",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071091123",
"telephone_number": "732-844-9220",
"fax_number": "732-844-9221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTYNOV",
"first_name": "ANDREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.