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DR. MARTHA JEANNETHE MUTIS DMD MPH
NPI 1619424066
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since September 01, 2016
5800 3RD AVE, BROOKLYN, NY 11220(718) 630-7152 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Martha Jeannethe Mutis Dmd Mph NPPES

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

DR. MARTHA JEANNETHE MUTIS DMD MPH (NPI 1619424066) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1619424066
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MARTHA JEANNETHE MUTISCredential: DMD MPH
Location Address5800 3RD AVEBrooklyn, NY 11220-3702
Mailing Address675 Main St Apt 7New Rochelle, NY 10801-7128 · (914) 740-4199
Phone(718) 630-7152
Sole ProprietorNo
Enumeration DateSeptember 1, 2016
✔ NPI 1619424066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5800 3RD AVE, Brooklyn, NY 11220
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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. JASMINA AGALLIU DDS
Student in an Organized Health Care Education/Training Program
5800 3RD AVE
BROOKLYN, NY 11220
Kings County (718) 630-6875
MS. CARMEN ORSINI-ZELAYA MSW
Social Worker
5800 3RD AVE
BROOKLYN, NY 11220
Kings County (718) 630-7824
AVIGDOR MARSHEL O.T.
Specialist
5800 3RD AVE
BROOKLYN, NY 11220
Kings County (718) 630-6180
MABLE THOMASON RDH
Dental Hygienist
5800 3RD AVE
BROOKLYN, NY 11220
Kings County (718) 630-6180
SANDRA TAITT LCSW
Social Worker (Clinical)
5800 3RD AVE
BROOKLYN, NY 11220
Kings County (718) 630-8298
MR. RICARDO M HUDSON SR. LMSW
Social Worker
5800 3RD AVE
BROOKLYN, NY 11220
Kings County (718) 437-5248
MS. MARCELA CHARRY
Counselor
5800 3RD AVE
BROOKLYN, NY 11220
Kings County (718) 437-5248
MS. AIDA RIVERA
Community Health Worker
5800 3RD AVE, MANAGED CARE DEPARTMENT
BROOKLYN, NY 11220
Kings County (718) 630-7824

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 Mutis's NPI number?

The NPI number for Martha Mutis is 1619424066. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Martha Mutis located?

Martha Mutis practices at 5800 3rd Ave, Brooklyn, NY 11220. The listed phone number is (718) 630-7152.

What is Martha Mutis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Martha Mutis was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.