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

MS. Mary Kathleen Martin, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1477863082

MS. Mary Kathleen Martin, ANP is a Nurse Practitioner in Riverhead, New York. Qualified in 2015, 11 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2010
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Practice location Address checks out

31 Main Rd
Riverhead, NY 11901-1953
Phone: (631) 722-4400
Fax: (631) 722-4426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F305471 (NY)

Record details

NPI number1477863082
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedOctober 15, 2010
Last updated in NPPESJanuary 13, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Riverhead