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DR. MARIA E MARTINS MD
NPI 1255401733
Obstetrics & Gynecology - Maternal & Fetal Medicine in Edison, NJ

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
65 JAMES ST, DEPT OF PERINATOLOGY, 5TH FLOOR, EDISON, NJ 08820(732) 321-7907(732) 767-2950 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Maria E Martins Md NPPES

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

DR. MARIA E MARTINS MD (NPI 1255401733) is an individual maternal & fetal medicine provider in Edison, New Jersey, licensed in New Jersey (25MA06054500) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1988).

NPPES Registry Identity

NPI1255401733
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameDR. MARIA E MARTINSCredential: MD
Location Address65 JAMES ST, DEPT OF PERINATOLOGY, 5TH FLOOREdison, NJ 08820-3947
Mailing Address65 James St, Dept Of Perinatology, 5th FloorEdison, NJ 08820-3947 · (732) 321-7907 · Fax (732) 767-2950
Phone(732) 321-7907
Fax(732) 767-2950
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1988
Enumeration DateNovember 9, 2006
Last NPPES UpdateMarch 31, 2014
✔ NPI 1255401733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in NJ · 25MA06054500
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
65 JAMES ST, Edison, NJ 08820
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN538863NJ
Medicare UPINE84733NJ
Medicaid6310800NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Dr. Maria E Martins Md 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 ID5395892897
PECOS Enrollment IDI20090421000429
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

2

Medicare enrollment records show Maria Martins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Complex Care PC
20 mi
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1154379626 (732) 807-0800
Hackensack Meridian Health Medical Group - Specialty Care PC
20 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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 08820 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.5
Promoting Interoperability100
Improvement Activities40
Cost60.9

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.

DR. LAMA EL ZEIN M.D
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7487
MARLINE SPENCER RN, MSN, NP-C
Nurse Practitioner (Gerontology)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 744-5537
MARIA P MASIH MD
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7487
ASHLEY MARGARITONDO DPT
Physical Therapist
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000
MICHAEL D. CALI MD
Emergency Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000
STACEY JOU MD
Physical Medicine & Rehabilitation (Brain Injury Medicine)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7070
MERARI SINGH APN
Nurse Practitioner
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000
COMMUNITY HOSPITAL GROUP INC
Psychologist
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 632-1571

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 Maria Martins's NPI number?

The NPI number for Maria Martins is 1255401733. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Maria Martins located?

Maria Martins practices at 65 James St Dept Of Perinatology, 5th Floor, Edison, NJ 08820. The listed phone number is (732) 321-7907.

What is Maria Martins's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Maria Martins enrolled in Medicare?

Yes. Maria Martins 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 Maria Martins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Martins reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 Maria Martins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Martins accept?

Health plans from Oscar Health list Maria Martins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Martins was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.