MARTHA ALEXANDRA PETTEI
NPI 1215572375
Nurse Practitioner - Family in New Hyde Park, NY
About Martha Alexandra Pettei NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTHA ALEXANDRA PETTEI (NPI 1215572375) is an individual family provider in New Hyde Park, New York, licensed in New York (F344521-01) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Martha Alexandra Pettei is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW HYDE PARK, NY 11042
NEW HYDE PARK, NY 11042
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 Martha Pettei's NPI number?
The NPI number for Martha Pettei is 1215572375. It was assigned to this individual provider in the NPPES registry on November 13, 2019.
Where is Martha Pettei located?
Martha Pettei practices at 430 Lakeville Rd, New Hyde Park, NY 11042. The listed phone number is (718) 470-7550.
What is Martha Pettei's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Martha Pettei enrolled in Medicare?
Yes. Martha Pettei is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Martha Pettei was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Martha Alexandra Pettei · NPI 1215572375
Family physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since November 13, 2019.
## Identity
- **NPI:** 1215572375 (Entity type: Individual)
- **Enumerated:** November 13, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F344521-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 430 LAKEVILLE RD, New Hyde Park, NY 11042-1121
- **Phone:** (718) 470-7550
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215572375) · Data from the CMS NPPES public registry.