| Mrs Mariya I Martynenko, MA | |
|
452 River Rd., Apt.l, Nutley, NJ 07110 | |
| (973) 661-5234 | |
| Not Available |
| Full Name | Mrs Mariya I Martynenko |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 28 Years |
| Location | 452 River Rd., Nutley, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215077227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00315800 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center Of Revitalizing Psychiatry, P.c. | 0648239988 | 39 |
| Entity Name | Center Of Revitalizing Psychiatry, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356497960 PECOS PAC ID: 0648239988 Enrollment ID: O20041004000585 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mariya I Martynenko, MA 452 River Rd Apt L, Nutley, NJ 07110-3639 Ph: (973) 661-5234 | Mrs Mariya I Martynenko, MA 452 River Rd., Apt.l, Nutley, NJ 07110 Ph: (973) 661-5234 |
Ann Kerin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Adams Ct Apt 2a, Nutley, NJ 07110 Phone: 973-800-2044 | |
Caterina A Viscomi, LPC, LICENSED COACH Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Vreeland Ave, Nutley, NJ 07110 Phone: 973-235-1212 | |
Jennifer Giacobbe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Vreeland Ave, Nutley, NJ 07110 Phone: 973-235-1212 Fax: 973-235-1527 | |
Maria Carputo, LAC, NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 10 Tremont Pl, Nutley, NJ 07110 Phone: 201-889-6923 | |
Mr. Brandon Michael Lee, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 169 Chestnut St, Nutley, NJ 07110 Phone: 973-667-1884 | |
Josephine Mercedes Del Villar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Vreeland Ave, Nutley, NJ 07110 Phone: 973-235-1212 | |
Mrs. Sally Ann Goncalves, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 9 Briar Ln, Nutley, NJ 07110 Phone: 973-623-0600 |