Active NPIIndividual provider

Jill K Martinez

Physician Assistant, Surgical in Brick, New Jersey

NPI Number1417333410
Practice location
457 Jack Martin Blvd, Brick, NJ 08724-7776
Fax
732-840-2088
Last updated
March 8, 2021

Jill Kathleen Martinez is a Physician Assistant, Surgical based in Brick, NJ. Jill Kathleen Martinez practices in Brick, NJ. The NPI Number for Jill Kathleen Martinez is 1417333410 and holds a License No. 25MP00598200 (NJ). The current practice location address for Jill Kathleen Martinez is 457 Jack Martin Blvd, Brick, NJ 08724-7776 and can be reached out via phone at 732-840-7500 and via fax at 732-840-2088.

Provider Profile Details

NPI Number
1417333410
Provider Name
Jill Kathleen Martinez
Provider Entity Type
Individual
Gender
Female
Address
457 Jack Martin Blvd, Brick, NJ 08724-7776
Phone Number
732-840-7500
Fax Number
732-840-2088
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2015
Last Update Date
March 8, 2021
Certification Date
February 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
457 Jack Martin Blvd
Brick, NJ 08724-7776
City
Brick
Zip
08724-7776
Phone Number
732-840-7500
Fax Number
732-840-2088
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
457 Jack Martin Blvd
Brick, NJ 08724-7776
City
Brick
State
NJ
Zip
08724-7776
Phone Number
732-840-7500
Fax Number
732-840-2088

License Information

License Number (1)
25MP00598200
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
3862
License State (2)
CT
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X
License Number (3)
25MP00598200
License State (3)
NJ
Taxonomy (3)
Physician Assistant, Surgical · 363AS0400X · 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 Jill K Martinez?

The NPI number of Jill K Martinez is 1417333410. It was assigned on August 3, 2015 and is currently active in the NPPES registry.

What is the specialty of Jill K Martinez?

Jill K Martinez is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00598200.

Where does Jill K Martinez practice?

The practice location is 457 Jack Martin Blvd, Brick, NJ 08724-7776. The office can be reached at 732-840-7500 (phone) or 732-840-2088 (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 1417333410 directly on the NPPES registry website.

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