MEDICARE: MAURICE JOSEPH MARTIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	286047	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080046335	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245211416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURICE JOSEPH MARTIN MD

Provider Business Mailing Address
First Line	:	245 E 21ST ST APT 14A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-6412
Country	:	US
Telephone Number	:	617-838-5587
Fax Number	:

Provider Business Practice Location Address
First Line	:	1824 MADISON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-3832
Country	:	US
Telephone Number	:	212-423-4500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	12/12/2025

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Directions to “ MAURICE JOSEPH MARTIN MD” Practice Location

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