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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: July 26, 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 121534 Devonshire St Ste I #1049Chatsworth, CA 91311-2992 · Phone (818) 443-7035
Location 23709 Flatlands AveBrooklyn, NY 11234-3507 · Phone (718) 444-7766

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

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.

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.

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 4 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.