DR. IVAN DE MARTINO (NPI# 1124558507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124558507 |
| Entity Type | Individual |
| Full Name | DR. IVAN DE MARTINO |
| Credential | MD |
| Practice Address |
535 E 70th St New York NY 10021-4823 |
| Mailing Address |
400 E 71st St Apt 11n New York NY 10021-4814 |
| Practice Telephone | 2127742572 |
| Mailing Telephone | 6463614105 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
NA | ZZ | Allopathic & Osteopathic Physicians |
| Street Address |
535 E 70TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263338 | Richard J Herzog | Radiology | 535 E 70th St, Division of Mri, New York, NY 10021-4872 | 2005-05-24 |
| 1700484052 | Edward A Athanasian Md PC | Orthopaedic Surgery | 535 E 70th St, New York, NY 10021-4823 | 2020-10-09 |
| 1770196156 | Ronald T Vales II | Nurse Practitioner | 535 E 70th St, New York, NY 10021-4898 | 2020-08-26 |
| 1184235897 | Jennifer T Mack | Nurse Practitioner | 535 E 70th St, New York, NY 10021-4823 | 2020-08-14 |
| 1053921841 | Dorothy Russo | Nurse Practitioner | 535 E 70th St, New York, NY 10021-4823 | 2020-08-06 |
| 1215553771 | Ichiro Okano | Orthopaedic Surgery | 535 E 70th St, New York, NY 10021-4898 | 2020-06-22 |
| 1992320717 | Gwen Weinstock-zlotnick | Occupational Therapist | 535 E 70th St, New York, NY 10021-4823 | 2020-06-09 |
| 1275158958 | Devany Tiedeman | Physical Therapist | 535 E 70th St, New York, NY 10021-4823 | 2020-06-09 |
| 1255956082 | Aubrey Elstad | Physical Therapist | 535 E 70th St, New York, NY 10021-4898 | 2020-06-08 |
| 1922622703 | Hannah Mathys | Physical Therapist | 535 E 70th St, New York, NY 10021-4898 | 2020-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
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| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366077760 | City Motion Orthopaedics Pllc | Orthopaedic Surgery | 51 E 25th St Fl 6, New York, NY 10010-8207 | 2020-03-05 |
| 1760967723 | William J Lackey Md PC | Orthopaedic Surgery | 153 W 27th St Ste 1101, New York, NY 10001-6251 | 2018-09-26 |
| 1427438753 | Cameron Yau | Orthopaedic Surgery | 50 E 76th St, Apt 5a, New York, NY 10021-2707 | 2015-06-02 |
| 1215231485 | Abhijit Pawar | Orthopaedic Surgery | 400 E 71st St Apt 11-0, New York, NY 10021-4808 | 2011-01-03 |
| 1811142367 | Amrit Goyal | Orthopaedic Surgery | 130 E 77th Street, Lenox Hill Hospital, New York, NY 10021 | 2008-11-25 |
| 1942363767 | Patrick Andreas Meere | Orthopaedic Surgery | 530 1st Ave Ste 5j, New York, NY 10016-6402 | 2006-12-19 |
| 1679654289 | Michael J Bronson | Orthopaedic Surgery | 5 E 98th St # 1188, Mt Sinai Medical Center - Dept of Orthopedics, New York, NY 10029-6501 | 2006-10-18 |
| 1710904529 | Barton Nisonson | Orthopaedic Surgery | 130 East 77th St, New York, NY 10021 | 2006-07-16 |
| 1720452915 | Shein Orthopaedics, Pllc | Orthopaedic Surgery | 245 E 84th St, New York, NY 10028-2973 | 2015-11-25 |
| 1093119760 | Alberto Carli | Orthopaedic Surgery | 535 East 70th Street, New York, NY 10021 | 2014-10-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.