Active NPIIndividual providerSole proprietor

Dr. Raysa M Martin, DDS

Dentist in Wyckoff, New Jersey

NPI Number1073023560
Practice location
800 Wyckoff Ave Ste 101, Wyckoff, NJ 07481-1525
Fax
201-891-7926
Last updated
August 10, 2021

Raysa M Martin is a Dentist based in Wyckoff, NJ. Raysa M Martin practices in Wyckoff, NJ and has the professional credentials of DDS. The NPI Number for Raysa M Martin is 1073023560 and holds a License No. DI02691900 (NJ). The current practice location address for Raysa M Martin is 800 Wyckoff Ave Ste 101, Wyckoff, NJ 07481-1525 and can be reached out via phone at 201-891-4425 and via fax at 201-891-7926.

Provider Profile Details

NPI Number
1073023560
Provider Name
Raysa M Martin
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
800 Wyckoff Ave Ste 101, Wyckoff, NJ 07481-1525
Phone Number
201-891-4425
Fax Number
201-891-7926
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
October 10, 2017
Last Update Date
August 10, 2021
Certification Date
August 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Wyckoff Ave Ste 101
Wyckoff, NJ 07481-1525
Zip
07481-1525
Phone Number
201-891-4425
Fax Number
201-891-7926
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
800 Wyckoff Ave Ste 101
Wyckoff, NJ 07481-1525
City
Wyckoff
State
NJ
Zip
07481-1525
Phone Number
201-891-4425
Fax Number
201-891-7926

License Information

License Number
DI02691900
License State
NJ
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Raysa M Martin, DDS?

The NPI number of Dr. Raysa M Martin, DDS is 1073023560. It was assigned on October 10, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Raysa M Martin, DDS?

Dr. Raysa M Martin, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI02691900.

Where does Dr. Raysa M Martin, DDS practice?

The practice location is 800 Wyckoff Ave Ste 101, Wyckoff, NJ 07481-1525. The office can be reached at 201-891-4425 (phone) or 201-891-7926 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073023560 directly on the NPPES registry website.

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