Active NPIIndividual providerSole proprietor

Elyssa Martino, MA

Community/Behavioral Health in East Rutherford, New Jersey

NPI Number1578370706
Practice location
96 Chadwick St, East Rutherford, NJ 07073-1603
Fax
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Last updated
December 11, 2024

Elyssa Martino is a Community/Behavioral Health based in East Rutherford, NJ. Elyssa Martino practices in East Rutherford, NJ and has the professional credentials of MA. The NPI Number for Elyssa Martino is 1578370706 and holds a License No. BACB765732 (NJ). The current practice location address for Elyssa Martino is 96 Chadwick St, East Rutherford, NJ 07073-1603 and can be reached out via phone at 201-414-1568.

Provider Profile Details

NPI Number
1578370706
Provider Name
Elyssa Martino
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
96 Chadwick St, East Rutherford, NJ 07073-1603
Phone Number
201-414-1568
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 11, 2024
Last Update Date
December 11, 2024
Certification Date
December 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
96 Chadwick St
East Rutherford, NJ 07073-1603
Zip
07073-1603
Phone Number
201-414-1568
East Rutherford, NJ 07073Get directions →

Provider Business Mailing Address Details

Address
96 Chadwick St
East Rutherford, NJ 07073-1603
City
East Rutherford
State
NJ
Zip
07073-1603
Phone Number
201-414-1568

License Information

License Number
BACB765732
License State
NJ
Taxonomy
Community/Behavioral Health · 251S00000X · 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 Elyssa Martino, MA?

The NPI number of Elyssa Martino, MA is 1578370706. It was assigned on December 11, 2024 and is currently active in the NPPES registry.

What is the specialty of Elyssa Martino, MA?

Elyssa Martino, MA is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in NJ under license number BACB765732.

Where does Elyssa Martino, MA practice?

The practice location is 96 Chadwick St, East Rutherford, NJ 07073-1603. The office can be reached at 201-414-1568 (phone).

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 1578370706 directly on the NPPES registry website.

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