MEDICARE: MS. XIOMARA MARTINEZ APN

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	363L00000X	Nurse Practitioner	26NJ15358400	NJ

General Provider Information

NPI Number	:	1598657728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. XIOMARA MARTINEZ APN

Provider Business Mailing Address
First Line	:	106 CT HOUSE S DENNIS RD
Second Line	:	BLDG 200, STE 200
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210
Country	:	US
Telephone Number	:	609-677-7776
Fax Number	:	609-677-7509

Provider Business Practice Location Address
First Line	:	106 CT HOUSE S DENNIS RD
Second Line	:	BLDG 200, STE 200
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210
Country	:	US
Telephone Number	:	609-677-7776
Fax Number	:	609-677-7509

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

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	08/27/2025

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