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NPI Code Detail

MEDICARE: DR. MARTIN S PINE M.D.

MEDICARE:  DR. MARTIN S PINE  M.D.
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
1207K00000XAllergy & Immunology Physician25MA02573300NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1132963926OTHERNYTAX ID
21467587485OTHERNJCOVENTRY HEALTH-FIRST HEALTH
3323802OTHERNYBLUE CROSS BLUE SHEILD
43404949000OTHERNJAMERIHEALTH
58833753OTHERNJCIGNA, GREATWEST
61467587485OTHERNJAMERIGROUP
74316513OTHERNJAETNA PPO
84411182OTHERNJEMBLEM HEALTH GHI
9P571240OTHERNYOXFORD
101062082OTHERNJWELLCARE
11392724OTHERNJU.S. FAMILY HEALTH
12MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
135140091OTHERNJAETNA HMO

General Provider Information

NPI Number : 1467587485
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARTIN S PINE M.D.
Provider Business Mailing Address
First Line : 20 PARK AVE
Second Line : SUITE 1A
City : NEW YORK
State : NY
Zip : 10016-3893
Country : US
Telephone Number : 212-532-8494
Fax Number : 212-532-8425
Provider Business Practice Location Address
First Line : 300 HUDSON ST STE A
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5896
Country : US
Telephone Number : 201-792-5900
Fax Number : 201-792-5320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 12/09/2025

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Directions to “ DR. MARTIN S PINE M.D.” Practice Location

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