CARLISLE L. ST. MARTIN, MD, PA (NPI# 1790957835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790957835 |
| Entity Type | Organization |
| Organization Name | CARLISLE L. ST. MARTIN, MD, PA |
| Practice Address |
11510 Queens Blvd Forest Hills NY 11375-7060 |
| Practice Telephone | 7185200808 |
| Practice Fax Number | 7185440972 |
| Mailing Telephone | 7185200808 |
| Mailing Fax Number | 7185440972 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | CARLISLE L. ST. MARTIN (OWNER / PRESIDENT) |
| Authorized Official Telephone | 7185200808 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
153547 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
11510 QUEENS BLVD |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-7060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417939398 | Womens's Advanced Healthcare,pc | Obstetrics & Gynecology | 11510 Queens Blvd, Ste Ul 2, Forest Hills, NY 11375-7060 | 2005-11-16 |
| 1306460688 | Carlilse Stmartin Md PC | Psychiatry & Neurology | 11510 Queens Blvd, Forest Hills, NY 11375-7015 | 2020-06-03 |
| 1497069470 | Kool Smiles Dental PC | Dentist | 11510 Queens Blvd, Ul-6, Forest Hills, NY 11375-7015 | 2010-08-02 |
| 1043463359 | Gina Herd | Social Worker | 11510 Queens Blvd, Forest Hills, NY 11375-7015 | 2008-10-30 |
| 1053478545 | Gus Christos Papapetrou | Psychologist | 11510 Queens Blvd, Ste Ul4, Forest Hills, NY 11375-7060 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518286897 | Seniha Inan | Psychiatry & Neurology | 10255 63rd Rd, Forest Hills, NY 11375-1048 | 2010-05-25 |
| 1407883150 | Enrico Fazzini | Psychiatry & Neurology | 108-14 72nd Avenue, 2nd Floor, Forest Hills, NY 11375 | 2006-06-27 |
| 1235190174 | Ira R Casson | Psychiatry & Neurology | 112-03 Queens Blvd, Ste 201, Forest Hills, NY 11375 | 2006-03-30 |
| 1790764348 | Carlisle L St. Martin | Psychiatry & Neurology | 115-10 Queens Blvd, Forest Hills, NY 11375-7060 | 2006-01-12 |
| 1124013990 | Marina Neystat | Psychiatry & Neurology | 10124 Queens Blvd, Suite A, Forest Hills, NY 11375-2703 | 2005-09-16 |
| 1306460688 | Carlilse Stmartin Md PC | Psychiatry & Neurology | 11510 Queens Blvd, Forest Hills, NY 11375-7015 | 2020-06-03 |
| 1346473071 | Kishan A Patel | Psychiatry & Neurology | 11247 Queens Blvd, Suite 206, Forest Hills, NY 11375-7417 | 2009-08-28 |
| 1316107147 | Maria Dolgovina | Psychiatry & Neurology | 10124 Queens Blvd Ste A, Forest Hills, NY 11375-2779 | 2008-06-16 |
| 1548380892 | Yelena Amitina | Psychiatry & Neurology | 11120 Queens Blvd, Forest Hills, NY 11375-6303 | 2007-03-30 |
| 1326128034 | Enrico Fazzini, D.o., P.c | Psychiatry & Neurology | 108-14 72nd Avenue, 2nd Floor, Forest Hills, NY 11375 | 2006-10-17 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
Please comment or provide details below to improve the information on CARLISLE L. ST. MARTIN, MD, PA.
| 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.