Healthcare Provider Details

I. General information

NPI: 1831279637
Provider Name (Legal Business Name): MARTINE JEAN-BAPTISTE CNM, NP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 W 81ST ST SUITE GF
NEW YORK NY
10024-5950
US

IV. Provider business mailing address

136 W 81ST ST SUITE GF
NEW YORK NY
10024-5950
US

V. Phone/Fax

Practice location:
  • Phone: 212-769-4578
  • Fax: 212-866-6352
Mailing address:
  • Phone: 212-769-4578
  • Fax: 212-866-6352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number390266-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberF360422-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberF000941-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: