Individual provider Active NPI

Denay L Marino, D.O.

  • Family Medicine Physician
  • Rio Grande, NJ
National Provider Identifier
1215006341
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB52020 Issued in NJ
Practice address
4011 Route 9 S
Suite 201
Rio Grande, NJ 08242-1916
Phone
(609) 770-7788
Fax
(609) 770-7774
NPI assigned
Nov 6, 2006
Last updated
Sep 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB52020 NJ Primary

Addresses

Primary practice location

4011 Route 9 S
Suite 201
Rio Grande, NJ 08242-1916

Mailing address

PO Box 593
Cape May Court House, NJ 08210-0593
Phone (609) 463-2755

Other identifiers 1

IdentifierTypeStateIssuer
387150901MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000880 NJ Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 6507817848 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB52020NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Physicians Associates PA Family Medicine CurrentSince Jun 1, 2014 Accepting new patients
Active Health Marlton LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Active Health Marmora LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Regenerative Medicine of South Jersey LLC Family Medicine CurrentSince Jan 15, 2020 Accepting new patients
Active Health Northfield LLC Family Medicine CurrentSince Apr 15, 2025 Accepting new patients

Locations

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

16 Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 272-0909

1317 Route 73
Ste 101
Mount Laurel, NJ 08054
Phone (609) 886-8039

1612 Tilton Rd
Northfield, NJ 08225
Phone (609) 277-2477

1501 Route 47
Rio Grande, NJ 08242
Phone (609) 224-1576

4011 Route 9 S
Ste 201
Rio Grande, NJ 08242
Phone (609) 463-2273

Interoperability endpoints

  • Direct secure messaging: denaymarino@crhs.allscriptsdirect.net

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1215006341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082100593",
            "telephone_number": "609-463-2755",
            "fax_number": "609-463-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 ROUTE 9 S",
            "address_2": "SUITE 201",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421916",
            "telephone_number": "609-770-7788",
            "fax_number": "609-770-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "DENAY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB52020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387150901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, NJ

Sources for this page

Verify at the official NPI Registry.