DR. IVAN DE MARTINO MD
NPI 1124558507
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in New York, NY

Q: What is Ivan De Martino's NPI number?

The NPI number for Ivan De Martino is 1124558507. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Q: What is Ivan De Martino's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Ivan De Martino was last updated on June 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 18, 2017PECOS Enrolled

535 E 70TH ST, NEW YORK, NY 10021(212) 774-2572 Get Directions Write a Review

NPPES record last updated: June 18, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Ivan De Martino Md NPPES

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

DR. IVAN DE MARTINO MD (NPI 1124558507) is an individual adult reconstructive orthopaedic surgery provider in New York, New York, licensed in Foreign Country (NA) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124558507

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. IVAN DE MARTINOCredential: MD

Location Address535 E 70TH STNew York, NY 10021-4823

Mailing Address400 E 71st St Apt 11nNew York, NY 10021-4814 · (646) 361-4105

Phone(212) 774-2572

Sole ProprietorNo

Enumeration DateJune 18, 2017

✔ NPI 1124558507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in ZZ · NA

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

535 E 70TH ST, New York, NY 10021

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ivan De Martino Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH E. MCCORD PA-C

Physician Assistant (Surgical)