HEIDY MARTINEZ-AVILA MD
NPI 1437672367
Obstetrics & Gynecology in North Bergen, NJ
About Heidy Martinez-avila Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEIDY MARTINEZ-AVILA MD (NPI 1437672367) is an individual obstetrics & gynecology provider in North Bergen, New Jersey, licensed in New Jersey (25MA11043800) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Palisades Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Heidy Martinez-avila 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.
Medicare Billing Reassignments
2Medicare enrollment records show Heidy Martinez-avila reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Voorhees, NJ 08043
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Regional Womens Health Group LLC
- 307 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Palisades Medical Center
Acute Care Hospitals · North Bergen, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07047 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Heidy Martinez-avila's NPI number?
The NPI number for Heidy Martinez-avila is 1437672367. It was assigned to this individual provider in the NPPES registry on July 23, 2017.
Where is Heidy Martinez-avila located?
Heidy Martinez-avila practices at 7650 River Rd Ste 230, North Bergen, NJ 07047. The listed phone number is (201) 868-6755.
What is Heidy Martinez-avila's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Heidy Martinez-avila enrolled in Medicare?
Yes. Heidy Martinez-avila 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 Heidy Martinez-avila's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heidy Martinez-avila reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Regional Women's Health Group, LLC (Voorhees, 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 Heidy Martinez-avila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heidy Martinez-avila accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Heidy Martinez-avila 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.
Is Heidy Martinez-avila affiliated with any hospitals?
According to CMS data, Heidy Martinez-avila is affiliated with Palisades Medical Center.
When was this NPI record last updated?
The NPPES record for Heidy Martinez-avila was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.