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MR. NICHOLAS PETER MARTIN P.A.
NPI 1205113040
Physician Assistant in West Islip, NY

Active since November 08, 2011PECOS Enrolled
1145 MONTAUK HWY, WEST ISLIP, NY 11795(631) 665-3376 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Nicholas Peter Martin P.a. NPPES

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

MR. NICHOLAS PETER MARTIN P.A. (NPI 1205113040) is an individual physician assistant in West Islip, New York, licensed in New York (015323) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205113040
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. NICHOLAS PETER MARTINCredential: P.A.
Location Address1145 MONTAUK HWYWest Islip, NY 11795-4909
Mailing Address63 Sunset DrSayville, NY 11782-2808 · (516) 622-6000
Phone(631) 665-3376
Sole ProprietorYes
Enumeration DateNovember 8, 2011
Last NPPES UpdateOctober 5, 2018
✔ NPI 1205113040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 015323
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1145 MONTAUK HWY, West Islip, NY 11795
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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)

Mr. Nicholas Peter Martin P.a. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

ATLANTIC SC LLC
Clinic/Center (Ambulatory Surgical)
1145 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 743-1145
AMERICAN ORTHODONTIC ASSOCIATES OF WEST ISLIP,LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
1145 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 661-3025
DR. JOSEPH MICHAEL VITAGLIANO D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
1145 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (631) 661-3025

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 Nicholas Martin's NPI number?

The NPI number for Nicholas Martin is 1205113040. It was assigned to this individual provider in the NPPES registry on November 8, 2011.

Where is Nicholas Martin located?

Nicholas Martin practices at 1145 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 665-3376.

What is Nicholas Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Martin enrolled in Medicare?

Yes. Nicholas Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Martin was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.