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NEW PROVIDENCE FAMILY PRACTICE CORPORATION
NPI 1053670216
Family Medicine in New Providence, NJ

Active since May 09, 2012
139 SOUTH ST, SUITE 201, NEW PROVIDENCE, NJ 07974(908) 771-9311(908) 771-9302 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About New Providence Family Practice Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW PROVIDENCE FAMILY PRACTICE CORPORATION (NPI 1053670216) is a healthcare organization registered as a family medicine in New Providence, New Jersey and active in the NPI registry since May 2012. The organization lists Lorenzo Giovanni Martinetti, President, as its authorized official.

NPPES Registry Identity

NPI1053670216
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEW PROVIDENCE FAMILY PRACTICE CORPORATION
Location Address139 SOUTH ST, SUITE 201New Providence, NJ 07974-1999
Mailing Address139 South St, Suite 201New Providence, NJ 07974-1999 · (908) 771-9311 · Fax (908) 771-9302
Phone(908) 771-9311
Fax(908) 771-9302
Organization SubpartNo
Authorized OfficialLorenzo Giovanni MartinettiPresident · (908) 771-9311
Enumeration DateMay 9, 2012
✔ NPI 1053670216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA04919800
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
139 SOUTH ST, New Providence, NJ 07974
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Providence Family Practice Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20120706000451Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Providence Family Practice Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lorenzo Martinetti, M.D.
Family Practice
NPI 1588722318
139 SOUTH STREET , SUITE 201
New Providence, NJ 07974
(908) 771-9311
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Providence Family Practice Corporation's NPI number?

The NPI number for New Providence Family Practice Corporation is 1053670216. It was assigned to this organization in the NPPES registry on May 9, 2012.

Where is New Providence Family Practice Corporation located?

New Providence Family Practice Corporation is located at 139 South St Suite 201, New Providence, NJ 07974. The listed phone number is (908) 771-9311.

What is New Providence Family Practice Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is New Providence Family Practice Corporation enrolled in Medicare?

Yes. New Providence Family Practice Corporation is registered in the Medicare PECOS enrollment system.

When is New Providence Family Practice Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through New Providence Family Practice Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to New Providence Family Practice Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for New Providence Family Practice Corporation was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.