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

Martha Alexandra Pettei

Individual provider Family Nurse Practitioner · NPI 1215572375

Martha Alexandra Pettei is a Nurse Practitioner in New Hyde Park, New York. Qualified in 2022, 4 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

430 Lakeville Rd
New Hyde Park, NY 11042-1121
Phone: (718) 470-7550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F344521-01 (NY)

Record details

NPI number1215572375
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2019
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in New Hyde Park