Healthcare Provider Details

I. General information

NPI: 1346173960
Provider Name (Legal Business Name): DAVI MARTINS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

293 US HIGHWAY 206 UNIT 10
FLANDERS NJ
07836-9580
US

IV. Provider business mailing address

776 SHUNPIKE RD
MADISON NJ
07940-1917
US

V. Phone/Fax

Practice location:
  • Phone: 908-955-0071
  • Fax:
Mailing address:
  • Phone: 973-391-5325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: