| Samantha Lee Martinez, APN | |
|
1 W Ridgewood Ave Ste 302, Paramus, NJ 07652-2361 | |
| (201) 975-5363 | |
| Not Available |
| Full Name | Samantha Lee Martinez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 1 W Ridgewood Ave Ste 302, Paramus, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194567305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ15081200 (New Jersey) | Primary |
| Entity Name | Aesthetic And Reconstructive Therapies Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316278658 PECOS PAC ID: 6406984616 Enrollment ID: O20100510000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Lee Martinez, APN 149 Main St Apt 314, Hackensack, NJ 07601-7371 Ph: (201) 723-0969 | Samantha Lee Martinez, APN 1 W Ridgewood Ave Ste 302, Paramus, NJ 07652-2361 Ph: (201) 975-5363 |
Lily Scollo, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Frisch Ct Ste 105, Paramus, NJ 07652 Phone: 973-954-4592 | |
Yongsoon Ko, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 E. Ridgewood Ave, Bergen Regional Medical Center, Paramus, NJ 07652 Phone: 201-207-9557 Fax: 201-784-1136 | |
Ogechukwu Adinde, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 E Ridgewood Ave, Paramus, NJ 07652 Phone: 201-952-3520 | |
Kitsa Evangelis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 E Rte 4 Ste 490, Paramus, NJ 07652 Phone: 201-389-1285 Fax: 201-445-4195 | |
Mrs. Althea Doreen Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 E Ridgewood Ave, Paramus, NJ 07652 Phone: 201-967-4000 | |
Manjinder Kaur, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 E Ridgewood Ave, Paramus, NJ 07652 Phone: 201-212-3111 | |
Bernard Favarato Perutti, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 650 From Rd, Ste 506, Paramus, NJ 07652 Phone: 551-996-1342 |