MARTIN KING (NPI# 1790234839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790234839 |
| Entity Type | Individual |
| Full Name | MARTIN KING |
| Credential | PH.D |
| Practice Address |
481 Edward H Ross Dr Elmwood Park NJ 07407-3118 |
| Practice Telephone | 2017912600 |
| Practice Fax Number | 2017911941 |
| Mailing Telephone | 2017912600 |
| Mailing Fax Number | 2017911941 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750695201 | Martin T King | Radiology | 450 Brookline Ave, Dana-farber Cancer Institute, Boston, MA 02215-5418 | 2010-07-27 |
| Street Address |
481 EDWARD H ROSS DR |
| City | ELMWOOD PARK |
| State | NJ |
| Zip Code | 07407-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134277494 | Bio-reference Laboratories, Inc. | Clinical Medical Laboratory | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2007-01-05 |
| 1528434875 | Erica Webb | Genetic Counselor, MS | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2015-08-20 |
| 1447508940 | Xinxin Yao | Genetic Counselor, MS | 481 Edward H Ross Dr, Genetic Counseling, Elmwood Park, NJ 07407-3118 | 2012-08-15 |
| 1295093169 | The Genetics Center, Inc | Obstetrics & Gynecology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2012-04-30 |
| 1023303971 | Jeffrey W Bissonnette | Genetic Counselor, MS | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2011-06-17 |
| 1639460942 | Becky Lynn Grey Milewski | Genetic Counselor, MS | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2011-04-21 |
| 1912237025 | Brli - Genpath Diagnostics, Inc | Clinical Medical Laboratory | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2010-01-12 |
| 1295969491 | Anna Katherine Mcgill | Genetic Counselor, MS | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2009-05-04 |
| 1598949240 | Genpath, Inc. | Pathology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2007-12-18 |
| 1013112739 | Po-shing Lee | Pathology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2007-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042406 | Diana Marie Monteleon | Registered Nurse | 75 Miller Avenue, Elmwood Park, NJ 07407 | 2020-01-24 |
| 1427569102 | Fastcare Medical Transportation | Ambulance | 62 Philip Ave, Elmwood, NJ 07407 | 2017-10-20 |
| 1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
| 1457885048 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Donor Avenue, Apt A, Elmwood Park, NJ 07407 | 2017-04-20 |
| 1295143196 | Juan Quesada | Student in an Organized Health Care Education/Training Program | 21 Craig Court, Elmwood Park, NJ 07407 | 2014-07-24 |
| 1548546492 | Pinnacle Mri Group, LLC | Clinic/Center | 97 Linden Avenue, Elmwood Park, NJ 07407 | 2011-10-24 |
| 1598914921 | Aaron David Brisman | Dentist | 511 River Drive, Elmwood Park, NJ 07407 | 2008-09-10 |
| 1922267004 | Borough of Elmwood Park | Public Health or Welfare | 182 Market Street, Health Department, Elmwood Park, NJ 07407 | 2008-06-04 |
| 1043477599 | Deborah W. Buzaid | Pathology | 481 Edward H. Ross Drive, Elmwood Park, NJ 07407 | 2008-05-21 |
| 1558571828 | Yan Gao Fan | Pathology | 481 Edward H Ross Drive, Elmwood Park, NJ 07407 | 2007-05-23 |
| Find all providers in zip 07407 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972043552 | Arpit Patel | Pathology | 220 Davidson Ave Ste 104, Somerset, NJ 08873-4144 | 2017-03-02 |
| 1659678100 | Michael S Ghali | Pathology | 180 Lincoln Hwy, Edison, NJ 08820-3551 | 2011-02-18 |
| 1497907182 | Karl G Verebey | Pathology | 1622 S Wood Ave, Linden, NJ 07036-4646 | 2008-10-14 |
| 1093339012 | Advanced Clinical Solution Inc | Pathology | 1547a Finnegan Ln, North Brunswick, NJ 08902-1061 | 2020-06-05 |
| 1568632917 | Joseph Portali | Pathology | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2008-03-01 |
| 1922121102 | Li Jin | Pathology | 110 William St, Newark, NJ 07102-1304 | 2007-04-10 |
| 1225190705 | Kumudini U Mehta | Pathology | 1 Malcolm Ave, Teterboro, NJ 07608-1011 | 2006-12-14 |
| City | ELMWOOD PARK |
| Zip Code | 07407 |
Please comment or provide details below to improve the information on MARTIN KING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.