MR. NICOLAS MARTIN


Address: 1425 Portland Ave, Rochester, NY 14621-3011
Phone: 5859223327

MR. NICOLAS MARTIN (NPI# 1568012029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568012029
Entity Type Individual
Full Name MR. NICOLAS MARTIN
Credential PA-C
Practice Address 1425 Portland Ave
Rochester
NY 14621-3011
Mailing Address 2692 Putnam Rd
Ontario
NY 14519-9611
Practice Telephone 5859223327
Practice Fax Number 5859223835
Mailing Telephone 3155766249
Enumeration Date 2019-09-17
Last Update Date 2020-03-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 023950-01 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
110 W 6th St, Oswego, NY 131262507 3153495511
510 S 4th St, Fulton, NY 130692904 3155923500

Other Providers NICOLAS MARTIN

NPI Name Taxonomy Address Enumeration
1356845994 Nicolas Martin Physical Therapist 29 Round Tree Dr, Palm Coast, FL 32164-6955 2018-03-20
1477668606 Nicolas Clay Martin Podiatrist 12639 Old Tesson Rd Ste 115, Saint Louis, MO 63128 2006-08-20

Office Location

Street Address 1425 PORTLAND AVE
City ROCHESTER
State NY
Zip Code 14621-3011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881697605 Joseph David Silverberg Ophthalmology 1425 Portland Ave, Rochester, NY 14621-3001 2005-05-24
1598372443 Chengu Niu Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-09-24
1194339085 Latanya Denise Brown Licensed Practical Nurse 1425 Portland Ave, Rochester, NY 14621-3011 2020-09-08
1487267134 Roberto M Voica Pharmacist 1425 Portland Ave, Rochester, NY 14621-3011 2020-08-24
1538770102 Utsav Joshi Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-08-16
1952911687 Ido Goldenberg Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-08-06
1669081378 Carlos Alejandro Portales Castillo Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-07-28
1427667617 Varun Bhalla Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-07-23
1871101550 Tamer Salhab Altamimi Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-07-17
1508474628 Hafsa Faisal Student in an Organized Health Care Education/Training Program 1425 Portland Ave, Rochester, NY 14621-3011 2020-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619515327 Patti Humphrey Occupational Therapist 1831 Ridge Rd. East, Rochester, NY 14621 2019-12-12
1861956682 Sonya Thomas Counselor Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 2019-01-25
1811478357 Laura Iannella Student in an Organized Health Care Education/Training Program 1455 East Ridge, Rochester, NY 14621 2018-08-23
1982180345 Naman Sharma Student in an Organized Health Care Education/Training Program Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 2018-07-18
1699213447 Kara Mcallister Nurse Practitioner 370 East Ridge Road, Suite 400, Rochester, NY 14621 2017-02-01
1285082982 Universal Care Services, LLC In Home Supportive Care 64 Delamaine Drive, Rochester, NY 14621 2016-06-03
1700243896 Kenroy King I Registered Nurse 67 Warsaw Street, Rochester, NY 14621 2016-01-21
1154794808 Shari Venisee Licensed Practical Nurse 67 Carthage St, Rochester, NY 14621 2015-11-03
1114349024 Anthony Michael Plavsity Registered Nurse 1450 Clifford Ave, Rochester, NY 14621 2014-01-11
1033541107 The Community Place of Greater Rochester, Inc Case Management 500 Carter Street, Rochester, NY 14621 2013-07-31
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073112009 Reece Edward Mcevoy Physician Assistant 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 2020-10-21
1336755065 Katherine Zazulak Physician Assistant Ur Medicine Strong Memorial Hospital 601 Elmwood Ave, Rochester, NY 14642-0001 2020-09-18
1609489632 Michelle Sierant Physician Assistant 4847 Carrington Dr, Rochester, MI 48306-1496 2020-08-28
1558971812 Kelly Ann Probst Physician Assistant 136 Seminole Way, Rochester, NY 14618-1348 2020-08-03
1750999645 Paulina Maria Mager Physician Assistant 52 Pennwood Dr Apt E, Rochester, NY 14625-2527 2020-07-17
1013534841 Andrew Mcleod Physician Assistant 4631 Deer Springs Ct, Rochester, MI 48306-4733 2020-06-27
1295359123 Jenna Geary Physician Assistant 193 Avon Rd, Rochester, NY 14625-1932 2020-06-06
1063047637 Megan Thornton Physician Assistant Mayo Clinic - Rochester 200 First Street Sw, Rochester, MN 55905-0001 2020-03-04
1609417617 Maisie Katherine Pipher Physician Assistant 110 Crittenden Blvd, Rochester, NY 14620 2019-10-01
1427525633 Eric Thomas Mundt Physician Assistant 393 Pemberton Road, Rochester, NY 14622 2018-10-25
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Competitor

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City ROCHESTER
Zip Code 14621

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Dataset Information

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.

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