Active NPI
Laura Young Martin, M.D.
- Pediatric Surgery Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 311168
- Practice address
- 30 Prospect Ave Ste 3
Hackensack, NJ 07601-1915 - Phone
- (551) 996-2237
- Fax
- (551) 996-0734
- NPI assigned
- Apr 23, 2012
- Last updated
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1111111 | MD | |
| Pediatric Surgery Physician | 2086S0120X | 25MA11202600 | NJ | |
| Pediatric Surgery Physician | 2086S0120X | 311168 | NY | Primary |
Addresses
Primary practice location
30 Prospect Ave Ste 3
Hackensack, NJ 07601-1915
Mailing address
3600 Route 66 FL 3
Neptune, NJ 07753-2645
Phone (732) 807-0877
Other practice location 1
530 1st Ave Ste 10W
New York, NY 10016-6402
Phone (212) 263-7391
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lmartin465863@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Medical University of South Carolina College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
516 Lawrie St
Suite 1
Perth Amboy, NJ 08861-3046
Phone (732) 897-7944
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.44 of 100
- Quality
- 72.96
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1111111 | MD | MD | Surgery Physician |
| 25MA11202600 | NJ | MD | Pediatric Surgery Physician |
| 311168 | NY | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Complex Care PC | Multi-Specialty | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Multi-Specialty | Current | Accepting new patients |
| New York University | Multi-Specialty | Current | Accepting new patients |
| New York University | Multi-Specialty | Current | Accepting new patients |
| NYU Langone Hospitals | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Multi-Specialty | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
30 Prospect Ave
Ste 3
Hackensack, NJ 07601
Phone (551) 996-2237
30 Prospect Ave
Fl 3
Hackensack, NJ 07601
Phone (551) 996-2331
30 Prospect Ave
Ste 3RD
Hackensack, NJ 07601
Phone (551) 996-3051
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
516 Lawrie St
Ste 1
Perth Amboy, NJ 08861
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
530 1st Ave
Ste 10W
New York, NY 10016
Phone (212) 263-7391
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- lmartin1831949@nychhc.direct-ci.com
- lmartin465863@nyumc.direct-ci.com
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HMHMG Complex Care
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Multi-Specialty
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Multi-Specialty
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Multi-Specialty, NY
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Multi-Specialty
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Bellevue Hospital Center
- General Acute Care Hospital
- New York, NY
- NPI 1073535027
Multi-Specialty
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1972861318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 ROUTE 66 FL 3",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077532645",
"telephone_number": "732-807-0877",
"fax_number": "201-751-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE STE 3",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "551-996-2237",
"fax_number": "551-996-0734"
}
],
"practiceLocations": [
{
"address_1": "530 1st Ave Ste 10W",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-7391",
"fax_number": "212-263-6590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "LAURA",
"middle_name": "YOUNG",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-23",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "1111111",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Pediatric Surgery",
"state": "NJ",
"license": "25MA11202600",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NY",
"license": "311168",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmartin465863@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "530 1st Ave Ste 10W",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100166402",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.