Randy F Marrinan, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA08126100 Issued in NJ

Practice address

85 S Maple Ave
Ridgewood, NJ 07450-4561

Phone

(201) 445-2830

Fax

(201) 445-7471

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Spine Center and Orthopedic Rehabilitation

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Englewood, NJ
  • NPI 1760928030
  NPD (past)
• Spine Center and Orthopedic Rehabilitation of Englewood, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Englewood, NJ
  • NPI 1174612832
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1104919109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504561",
            "telephone_number": "201-445-2830",
            "fax_number": "201-445-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504561",
            "telephone_number": "201-445-2830",
            "fax_number": "201-445-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRINAN",
        "first_name": "RANDY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA08126100",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "228663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa P Distefano LPC LLC
• Marj Swain Bernstein LCSW LLC
• Barbara Markell, L.C.S.W.
• George Joseph Markowitz, MD
• Kendall Marquard
• Marvin Leibowitz PH.D. LLC
• Marvinleibowitz, PH.D., LLC
• Mary Youssef MD
• Karissa Masuicca
• Joseph P. Mathew, MD

• Physical Medicine & Rehabilitation Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.