Denay L Marino, D.O.
Individual provider Active NPI Family Medicine Physician · Rio Grande, NJ
NPI 1215006341 · NPPES record last updated Sep 24, 2014
Key facts
- NPI
- 1215006341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MB52020 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050203000880 | NJ | Practitioner - Osteopathic Manipulative Medicine |
6507817848 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB52020 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Physicians Associates PA | Family Medicine | Current |
Accepting new patients |
| Regenerative Medicine of South Jersey LLC | Family Medicine | Current |
Accepting new patients |
| Active Health Marlton LLC | Family Medicine | Current |
Accepting new patients |
| Active Health Marmora LLC | Family Medicine | Current |
Accepting new patients |
| Active Health Northfield LLC | Family Medicine | Current |
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
4011 Route 9 S
Ste 201
Rio Grande, NJ 08242
Phone (609) 463-2273
1501 Route 47
Rio Grande, NJ 08242
Phone (609) 224-1576
Interoperability endpoints
- denaymarino@crhs.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MB52020 | NJ | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 387150901 | Medicaid | NJ |
Other providers in Rio Grande, NJ
- Luxottica of America Inc
- Caroline Magnual
- Josephine H. Mahoney
- Floriza Mangulabnan
- Robert Joseph Manoli
- Julia Mastalski
- Loren M McCutcheon
- Sarah Jane McHale
- Lisa McMearty-Westog
- Dima Samir Mohammad
All providers in Rio Grande, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.