BELOVED KOFI MARTEY (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1396337044

BELOVED KOFI MARTEY (APN) is a healthcare provider. based in Springfield, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NJ01071100 (NJ). The NPI Number for BELOVED KOFI MARTEY (APN) is 1396337044

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
BELOVED KOFI MARTEY (APN)
NPI
1396337044
Phone
(973) 489-3255
Address
39 SMITHFIELD DR
Enumeration Date
4 February 2021
Last Update Date
5 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2018395016
Graduation Year
2020 (6 years ago)
PAC ID
6406385715
Group Practice PAC ID
2961762554
Professional Enrollment ID
I20250130002270
Address ID
NJ070133502CL992XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

7,574 NURSE PRACTITIONER in NJ

Provider Addresses for BELOVED KOFI MARTEY (APN)

  • 39 SMITHFIELD DR

    SPRINGFIELD, NJ 070812758

    Phone: (973) 489-3255

    Type: Mailing

  • 703 MAIN ST

    PATERSON, NJ 075032621

    Phone: (973) 754-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 187 Open Payments records for all available years, with a total value of $2,975.

Total Amount is formed as General ($2,975) + Research ($0) + Ownership ($0) = $2,975.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($716).

Total Amount

$2,975

General + Research + Ownership

Payments

187

Total payment records

General Amount

$2,975

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-30

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250130002270INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07081)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961762554View full group profile
NameSpecialtyState
Physician AssistantVA
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Physician AssistantPA
Internal MedicineNJ
P S Y C H I A T R YNY
Nurse PractitionerNJ
Nurse PractitionerFL
Nurse PractitionerNY

Reviews

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Frequently asked questions

Does BELOVED KOFI MARTEY (APN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BELOVED KOFI MARTEY (APN) uses 1396337044.
Is BELOVED KOFI MARTEY (APN) listed as active for patients and plans?
The listing shows BELOVED KOFI MARTEY (APN) as active in the NPI system.
What is BELOVED KOFI MARTEY (APN)'s specialty?
The listing groups BELOVED KOFI MARTEY (APN) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for BELOVED KOFI MARTEY (APN)?
BELOVED KOFI MARTEY (APN)'s geographic hint is Springfield, New Jersey in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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