Individual
DR. MARTIN S PINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 HUDSON ST STE A, HOBOKEN, NJ 07030-5896
(201) 792-5900
(201) 792-5320
Mailing address
20 PARK AVE, SUITE 1A, NEW YORK, NY 10016-3893
(212) 532-8494
(212) 532-8425
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA02573300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0533491
—
NJ
01
—
1062082
WELLCARE
NJ
01
—
132963926
TAX ID
NY
01
—
1467587485
COVENTRY HEALTH-FIRST HEALTH
NJ
01
—
323802
BLUE CROSS BLUE SHEILD
NY
01
—
3404949000
AMERIHEALTH
NJ
01
—
392724
U.S. FAMILY HEALTH
NJ
01
—
4316513
AETNA PPO
NJ
01
—
4411182
EMBLEM HEALTH GHI
NJ
01
—
5140091
AETNA HMO
NJ
01
—
8833753
CIGNA, GREATWEST
NJ
01
—
P571240
OXFORD
NY
Enumeration date
02/22/2007
Last updated
12/09/2025
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