Individual provider Active NPI

Marian Nicole Sarosi, M.D.

  • Family Medicine Physician
  • New London, CT
National Provider Identifier
1073690517
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD16184 Issued in RI
Practice address
507 Ocean Ave
New London, CT 06320-4521
Phone
(860) 442-7502
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 023467 CT
Family Medicine Physician 207Q00000X 023467 CT
Family Medicine Physician 207Q00000X MD16184 RI Primary

Addresses

Primary practice location

507 Ocean Ave
New London, CT 06320-4521

Mailing address

507 Ocean Ave
New London, CT 06320-4521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040223000059 CT Practitioner - Family PracticePractitioner - Otolaryngology 3173419769 Reassigns benefits to 4 organizations
I20180416002487 RI Practitioner - Family PracticePractitioner - Otolaryngology 3173419769 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023467CTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ma Pacs 2 PC CurrentSince Oct 1, 2020 Accepting new patients
Rhode Island Post Acute Medical Services 1 PC CurrentSince Apr 1, 2018 Accepting new patients
Connecticut Post Acute Medical Services 1 PC CurrentSince Sep 1, 2017 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
Ipc Hospitalists of New England PC Family Medicine CurrentSince Nov 25, 2013 Accepting new patients
Ipc Hospitalists of New England, P.C. Family Medicine CurrentSince Nov 25, 2013 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients

Locations

111 Church St
Middletown, CT 06457
Phone (860) 347-3786

31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

88 Clark Ln
Waterford, CT 06385
Phone (860) 442-0471

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

79 Beach St
Westerly, RI 02891
Phone (401) 596-4925

161 Post Rd
Westerly, RI 02891
Phone (401) 322-8081

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1073690517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 OCEAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 OCEAN AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204521",
            "telephone_number": "860-442-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAROSI",
        "first_name": "MARIAN",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "023467",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "023467",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD16184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.