Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chivaughn Martin

Individual provider Licensed Practical Nurse · NPI 1295047017

Chivaughn Martin is a Licensed Practical Nurse in New York, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
Specialties on file
2

Practice location Address checks out

506 Malcolm X Blvd
New York, NY 10037-1802
Phone: (212) 939-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 22660674 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 294837 (NY)

Record details

NPI number1295047017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 9, 2010
Last updated in NPPESJune 22, 2015

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