MS. MARIETTA FELICIA MARTIN (NPI# 1235582255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235582255 |
| Entity Type | Individual |
| Full Name | MS. MARIETTA FELICIA MARTIN |
| Credential | R.N |
| Practice Address |
2209 Brookwood Ln East Patchogue NY 11772-7109 |
| Practice Telephone | 6313941970 |
| Practice Fax Number | 6313941970 |
| Mailing Telephone | 6313941970 |
| Mailing Fax Number | 6313941970 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
360323 | NY | Nursing Service Providers |
| Street Address |
2209 BROOKWOOD LN |
| City | EAST PATCHOGUE |
| State | NY |
| Zip Code | 11772-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879109 | Linda Ann Paradiso | Registered Nurse | 300 Jay St # A611m, Brooklyn, NY 11201-1909 | 2020-07-29 |
| 1629606215 | Joan Amodeo | Registered Nurse | 140 W Orangeburg Rd, Orangeburg, NY 10962-2006 | 2020-03-30 |
| 1336788157 | Pamela Sandoval | Registered Nurse | 349 Central Ave Apt 3c, Lawrence, NY 11559-1616 | 2019-12-26 |
| 1649819616 | Medardo Ocasiones Ebol Jr. | Registered Nurse | Kirby Forensic Psychiatric Center, Wards Island Complex, Manhattan, NY 10035-6095 | 2019-12-23 |
| 1346884376 | Diane Aleksandrowicz | Registered Nurse | 2186 Bear Creek Dr, Ontario, NY 14519-9766 | 2019-11-02 |
| 1104468347 | King Xia | Registered Nurse | 1653 Hubbell St, Bronx, NY 10461-2905 | 2019-10-09 |
| 1699316497 | Zoey Luan | Registered Nurse | 89 Metropolitan Oval Apt 1e, Bronx, NY 10462-6411 | 2019-10-02 |
| 1699325993 | Michelle Yvonne Cerutti | Registered Nurse | 33 Mitchell Ave Ste G-80, Binghamton, NY 13903-1642 | 2019-09-18 |
| 1235792672 | Ann Marie Pignatti | Registered Nurse | 8093 Ashery Ln, Cicero, NY 13039-8353 | 2019-04-22 |
| 1619438785 | Debra Rieben | Registered Nurse | 711a Old Lane Rd, Vestal, NY 13850-3570 | 2019-03-29 |
| Find all providers with the same taxonomy | ||||
| City | EAST PATCHOGUE |
| Zip Code | 11772 |
Please comment or provide details below to improve the information on MS. MARIETTA FELICIA MARTIN.
| 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.