Mr Martin Ajax Chrisphonte, MD is a
Psychiatry & Neurology - Psychiatry physician based in Farmingdale, New York. Mr Martin Ajax Chrisphonte is licensed to practice in New York (license number 190294) and his current practice location is 750 Fulton St, Farmingdale, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 249-2765.
NPI number for Mr Martin Ajax Chrisphonte is 1619962966 and his current mailing address is 750 Fulton St, Farmingdale, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619962966.
Physician's Profile
| Full Name | Mr Martin Ajax Chrisphonte |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 750 Fulton St, Farmingdale, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619962966
- Provider Enumeration Date: 09/13/2005
- Last Update Date: 09/13/2019
Medical Identifiers
Medical identifiers for Mr Martin Ajax Chrisphonte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619962966 | NPI | - | NPPES |
| 01810975 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 190294 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME85871 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 190294 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Martin Ajax Chrisphonte is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Martin Ajax Chrisphonte, MD
750 Fulton St,
Farmingdale, NY 11735-3642
Ph: (631) 249-2765 | Mr Martin Ajax Chrisphonte, MD
750 Fulton St,
Farmingdale, NY 11735-3642
Ph: (631) 249-2765 |
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