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DOMINIQUE EBONIECE MARTINEZ FNP-BC
NPI 1225713829
Nurse Practitioner - Family in Glendale, NY

Active since June 20, 2023PECOS EnrolledAccepts Medicare Assignment
6414 MYRTLE AVE, GLENDALE, NY 11385(718) 805-0037(866) 221-0879 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2026, Dec 1, 2025, Sep 19, 2025 and 3 more (6 updates tracked since 2023).

About Dominique Eboniece Martinez Fnp-bc NPPES

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

DOMINIQUE EBONIECE MARTINEZ FNP-BC (NPI 1225713829) is an individual family provider in Glendale, New York, licensed in New York (355973) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225713829
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMINIQUE EBONIECE MARTINEZCredential: FNP-BC
Location Address6414 MYRTLE AVEGlendale, NY 11385-6203
Mailing AddressPo Box 211226Woodhaven, NY 11421-6226 · (917) 932-7378 · Fax (866) 221-0879
Phone(718) 805-0037
Fax(866) 221-0879
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 20, 2023
Last NPPES UpdateMarch 4, 20266 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1225713829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · 355973✔ Licensed in CA · NP95026260✔ Licensed in CA · 2023006023
6414 MYRTLE AVE, Glendale, NY 11385
Open in Google Maps ↗

Other Names 1

Former Name (1)Dominique E Mclaughlin Fnp-bc

Secondary Practice Locations 2

Location 13709 Flatlands AveBrooklyn, NY 11234-3507 · Phone (718) 444-7766
Location 221534 Devonshire St Ste I #1049Chatsworth, CA 91311-2992 · Phone (818) 443-7035

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dominique Eboniece Martinez Fnp-bc 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.

PECOS PAC ID8325489065
PECOS Enrollment IDI20240513003494, I20250217001739
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Dominique Martinez reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ny Family Practice Physicians, PC
1.9 mi
Primary Care
86 16 JAMAICA AVE
Woodhaven, NY 11421
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group
NPI 1790936854 (718) 805-0037
Intermed Medical Ny PC
5.8 mi
Internal Medicine
2329 NOSTRAND AVE STE 600
Brooklyn, NY 11210
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Intermed Medical Ny P.C.
  • 16 clinicians in this Medicare group
NPI 1316308406 (718) 633-2455
Kings County House Calls Np In Family Health PLLC
6.1 mi
General Practice
3709 FLATLANDS AVE
Brooklyn, NY 11234
  • Reassigned Medicare billing, New York enrollment
  • 42 clinicians in this Medicare group
NPI 1962976274 (718) 444-7766
Beacon Health Group PC
72 mi
Internal Medicine
555 STATE RD STE 102
Bensalem, PA 19020
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1720972896 (718) 972-3693
Hollywood Internal Medicine Clinic Inc
2,459 mi
Family Medicine
5101 HOLLYWOOD BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1780449744 (323) 426-9139
Onclick Healthcare Incorporated
2,485 mi
Health Service
2625 TOWNSGATE RD STE 330
Westlake Village, CA 91361
  • Reassigned Medicare billing, California enrollment
  • 77 clinicians in this Medicare group
NPI 1467074963 (818) 272-8260

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11385 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
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

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

BROOKLYN NUCLEAR SPECT IMJAGING, PC
Nuclear Medicine (Nuclear Cardiology)
6414 MYRTLE AVE
RIDGEWOOD, NY 11385
Queens County (800) 992-6827

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 Dominique Martinez's NPI number?

The NPI number for Dominique Martinez is 1225713829. It was assigned to this individual provider in the NPPES registry on June 20, 2023. The provider is also known as Dominique E Mclaughlin Fnp-Bc.

Where is Dominique Martinez located?

Dominique Martinez practices at 6414 Myrtle Ave, Glendale, NY 11385. The listed phone number is (718) 805-0037.

What is Dominique Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dominique Martinez enrolled in Medicare?

Yes. Dominique Martinez 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.

Which organizations bill Medicare for Dominique Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Martinez reassigns Medicare benefits to 6 organizations: Ny Family Practice Physicians, PC (Woodhaven, NY), Intermed Medical Ny PC (Brooklyn, NY), Kings County House Calls Np In Family Health PLLC (Brooklyn, NY), Beacon Health Group PC (Bensalem, PA), Hollywood Internal Medicine Clinic Inc (Los Angeles, CA) and 1 more organization, listed in the Medicare section above. Each 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 Dominique Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dominique Martinez was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.