Active NPI
Marian Fiona Martin
- Medical-Surgical Registered Nurse
- Bronx, NY
National Provider Identifier
1982174496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 539917-1
- Practice address
- 5676 Riverdale Ave Ste 202
Bronx, NY 10471-2100 - Phone
- (718) 796-5300
- NPI assigned
- Nov 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 539917-1 | NY | Primary |
Addresses
Primary practice location
5676 Riverdale Ave Ste 202
Bronx, NY 10471-2100
Mailing address
6300 Riverdale Ave Apt 2H
Bronx, NY 10471-1034
Phone (646) 228-8727
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 539917-1 | NY | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1982174496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 RIVERDALE AVE APT 2H",
"city": "BRONX",
"state": "NY",
"postal_code": "104711034",
"telephone_number": "646-228-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5676 RIVERDALE AVE STE 202",
"city": "BRONX",
"state": "NY",
"postal_code": "104712100",
"telephone_number": "718-796-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MARIAN",
"middle_name": "FIONA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Medical-Surgical",
"state": "NY",
"license": "539917-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.