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KELLY L MARTINEZ FNP
NPI 1811519606
Nurse Practitioner - Family in Centereach, NY

Active since May 14, 2020
5 STEWART CIR, CENTEREACH, NY 11720(631) 838-4261 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly L Martinez Fnp NPPES

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

KELLY L MARTINEZ FNP (NPI 1811519606) is an individual family provider in Centereach, New York, licensed in New York (F344381-1) and active in the NPI registry since May 2020. She maintains a secondary practice location in Port Jefferson.

NPPES Registry Identity

NPI1811519606
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY L MARTINEZCredential: FNP
Location Address5 STEWART CIRCentereach, NY 11720-2847
Mailing Address5 Stewart CirCentereach, NY 11720-2847 · (631) 838-4261
Phone(631) 838-4261
Sole ProprietorNo
Enumeration DateMay 14, 2020
NPPES CertifiedMay 14, 2020
✔ NPI 1811519606 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
License✔ Licensed in NY · F344381-1
5 STEWART CIR, Centereach, NY 11720
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Secondary Practice Location 1

Location 1200 Belle Terre RdPort Jefferson, NY 11777-1928 · Phone (631) 474-6000

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 Kelly Martinez's NPI number?

The NPI number for Kelly Martinez is 1811519606. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Kelly Martinez located?

Kelly Martinez practices at 5 Stewart Cir, Centereach, NY 11720. The listed phone number is (631) 838-4261.

What is Kelly Martinez's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Martinez was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.