DR. TRACEY MARTIN (NPI# 1790165256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790165256 |
| Entity Type | Individual |
| Full Name | DR. TRACEY MARTIN |
| Credential | M.D. |
| Practice Address |
550 1st Ave New York NY 10016-6402 |
| Mailing Address |
1087 Carroll St Apt D2 Brooklyn NY 11225-2168 |
| Practice Telephone | 2122635506 |
| Mailing Telephone | 6316121996 |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2015-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316414709 | Tracey Diane Martin | Nutritionist | 24846 Ne 1st Pl, Sammamish, WA 98074-3429 | 2018-10-24 |
| 1194932962 | Tracey Leeann Martin | Social Worker | 9200 W 191st St, Unit 6 Suite 1c, Mokena, IL 60448 | 2007-05-17 |
| 1508125055 | Tracey Martin | Registered Nurse | 2104 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2012-05-03 |
| 1326253063 | Tracey Dale Martin | Pharmacist | 49 Harrell St, Trion, GA 30753-1403 | 2007-05-14 |
| 1598978991 | Tracey Martin | Occupational Therapist | 760 Westwood Plaza, Los Angeles, CA 90024 | 2007-05-08 |
| 1770605586 | Tracey Lynn Martin | Nurse Practitioner | 650 N Nellis Blvd, Las Vegas, NV 89110-5382 | 2007-04-04 |
| 1134238546 | Tracey Martin | Nurse Practitioner | 275 Sandwich St, Plymouth, MA 02360-2183 | 2006-08-30 |
| 1770589491 | Tracey L Martin | Family Medicine | 4515 S Mcclintock Dr, Ste 100, Tempe, AZ 85282-7381 | 2005-06-27 |
| Street Address |
550 1ST AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290418 | John Anthony Bonavita | Radiology | 550 1st Ave, Nyu Langone Medical Center, Department of Radiology, New York, NY 10016-6402 | 2005-07-26 |
| 1013518349 | Anna Karlene Steve | Surgery | 550 1st Ave, New York, NY 10016-6402 | 2020-11-03 |
| 1659971257 | Claire Elise Domogala | Physician Assistant | 550 1st Ave, New York, NY 10016-6402 | 2020-11-01 |
| 1568061026 | Erica L Bohdan | Dietitian, Registered | 550 1st Ave, New York, NY 10016-6402 | 2020-10-25 |
| 1194324145 | Taylor Kain | Internal Medicine | 550 1st Ave, New York, NY 10016-6402 | 2020-10-21 |
| 1356958375 | Rivka A. Gross | Nurse Practitioner | 550 1st Ave, New York, NY 10016-6402 | 2020-09-24 |
| 1033724935 | Katrin Relman | Nurse Practitioner | 550 1st Ave, New York, NY 10016-6402 | 2020-09-09 |
| 1184239022 | Christen Marie Cudina | Nurse Practitioner | 550 1st Ave, New York, NY 10016-6402 | 2020-09-08 |
| 1649882390 | Raissa Aoun | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2020-08-22 |
| 1508478793 | Lindsay Anne Tetreault | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
| 1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
| 1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
| 1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
| 1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
| 1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
| Find all providers in zip 10016 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1558968537 | Yiyang Zhang | Student in an Organized Health Care Education/Training Program | 1000 10th Ave Fl 2, New York, NY 10019-1147 | 2020-10-03 |
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1285241018 | Grace A Forrester | Student in an Organized Health Care Education/Training Program | 517 W 121st St Apt 604s, New York, NY 10027-5901 | 2020-09-25 |
| 1235746199 | Christopher Alexis Perez Lizardo | Student in an Organized Health Care Education/Training Program | 515 W 59th St Apt 29b, New York, NY 10019-1042 | 2020-09-24 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
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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.