1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Nurse Practitioner
  6. NPI Profile

LEILANIE MARTIN
NPI 1891177606
Nurse Practitioner - Family in New York, NY

Active since June 29, 2015CLIA 33D2255215 · Waiver
65 E 76TH ST, 1 A, NEW YORK, NY 10021(718) 790-0904 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Leilanie Martin NPPES

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

LEILANIE MARTIN (NPI 1891177606) is an individual family provider in New York, New York, licensed in New York (F339579-1) and active in the NPI registry since June 2015. She holds a CLIA Waiver certificate valid through March 26, 2027.

NPPES Registry Identity

NPI1891177606
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEILANIE MARTIN
Location Address65 E 76TH ST, 1 ANew York, NY 10021-1844
Mailing Address3850 Hudson Manor Ter, 5ewBronx, NY 10463-1117 · (718) 790-0904
Phone(718) 790-0904
Sole ProprietorYes
Enumeration DateJune 29, 2015
✔ NPI 1891177606 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 · F339579-1
65 E 76TH ST, New York, NY 10021
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2255215

Leilanie Martin Family Health Np · Bronx, NY
Active · expires Mar 26, 2027
CLIA Number33D2255215
Laboratory TypeIndependent
Certificate Effective DateMarch 11, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorMs. Leilanie Martin
Laboratory Phone(718) 790-0904
Laboratory LocationLeilanie Martin Family Health Np3640 Johnson Ave - Pr1a - Front Office, Bronx, NY 10463
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GAYATRI DEVI M.D.
Psychiatry & Neurology (Neurology)
65 E 76TH ST
NEW YORK, NY 10021
New York County (212) 517-6881
DR. DAVID L JONAS M.D.
Psychiatry & Neurology (Psychiatry)
65 E 76TH ST
NEW YORK, NY 10021
New York County (212) 879-5308
DAVID L JONAS MDPC
Psychiatry & Neurology (Psychiatry)
65 E 76TH ST
NEW YORK, NY 10021
New York County (212) 879-5308
DR. LISA R MORSE PH.D.
Psychologist (Clinical)
65 E 76TH ST, SUITE 1E
NEW YORK, NY 10021
New York County (212) 734-0424
MARIANNE MOORE NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
65 E 76TH ST, APARTMENT 11D
NEW YORK, NY 10021
New York County (917) 887-3687
DR. PAUL ROSENBAUM MD
Specialist
65 E 76TH ST
NEW YORK, NY 10021
New York County (212) 628-6627
KIMBERLY BRADY RN
Registered Nurse (Pediatrics)
65 E 76TH ST
NEW YORK, NY 10021
New York County (212) 532-7620
FIRST STEP REGISTERED NURSING PC
Nursing Care
65 E 76TH ST
NEW YORK, NY 10021
New York County (212) 532-7620

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 Leilanie Martin's NPI number?

The NPI number for Leilanie Martin is 1891177606. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Leilanie Martin located?

Leilanie Martin practices at 65 E 76th St 1 A, New York, NY 10021. The listed phone number is (718) 790-0904.

What is Leilanie Martin's specialty?

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

Does Leilanie Martin hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2255215) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Leilanie Martin was last updated on June 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.