CASSIDY MARTIN DNP NPI 1003532698

NPI Information

  • NPI: 1003532698
  • Provider Name: CASSIDY MARTIN, DNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 94 OLD SHORT HILLS RD
    LIVINGSTON, NJ
    ZIP 07039
  • Phone: (973) 322-2793

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NPI Details

Cassidy Martin, DNP is a gerontology nurse practitioner in Livingston, NJ with 4 years of experience. Cassidy Martin, DNP NPI is 1003532698. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:2022

The provider's business location address is:

94 OLD SHORT HILLS RD
LIVINGSTON, NJ
ZIP 07039-672
Phone: (973) 322-2793

The NPI 1003532698 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/14/2022 and was last updated on 5/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology26NJ01371107NEW JERSEYYes
2363L00000XNurse Practitioner26NJ01371100NEW JERSEYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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