Individual provider Active NPI

John J Mariani, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • New York, NY
National Provider Identifier
1245383405
Registry record updated Feb 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
199048 Issued in NY
Practice address
51 E 25TH St Ste 7E
New York, NY 10010-2945
Phone
(646) 609-6771
Fax
(646) 588-1984
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 199048 NY Primary

Addresses

Primary practice location

51 E 25TH St Ste 7E
New York, NY 10010-2945

Mailing address

51 E 25TH St Ste 7E
New York, NY 10010-2945
Phone (646) 609-6771

Other practice location 1

1051 Riverside Dr
Division on Substance Abuse, Unit 66
New York, NY 10032-1007
Phone (212) 543-5987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 14, 2021 through Nov 14, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199048NYMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Medical Center Psychiatry & Behavioral Science Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients

Organizations & group practices 2

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1245383405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E 25TH ST STE 7E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102945",
            "telephone_number": "646-609-6771",
            "fax_number": "646-588-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E 25TH ST STE 7E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102945",
            "telephone_number": "646-609-6771",
            "fax_number": "646-588-1984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Riverside Dr",
            "address_2": "Division on Substance Abuse, Unit 66",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100321007",
            "country_code": "US",
            "telephone_number": "212-543-5987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIANI",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NY",
            "license": "199048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.