Individual provider Active NPI

Jessica Marino, MD

  • Family Medicine Physician
  • Troy, NY
National Provider Identifier
1255838819
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
341576 Issued in NY
Practice address
1401 Massachusetts Ave
Troy, NY 12180-1621
Phone
(518) 268-5242
Fax
(518) 268-5480
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 341576 NY Primary
Family Medicine Physician 207Q00000X 68737 CT

Addresses

Primary practice location

1401 Massachusetts Ave
Troy, NY 12180-1621

Mailing address

PO Box 14890
4TH FL, Ste 6
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

32 Strawberry Hill Court
4th Fl, Ste 6
Stamford, CT 06902-2594
Phone (203) 977-2566

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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
I20210714001113 CT Practitioner - Family Practice 6002218021 Reassigns benefits to 1 organization
I20260218001645 NY Practitioner - Family Practice 6002218021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Hospital of Troy, New YorkGroup PAC ID 6507770070, 258 clinicians
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

1401 Massachusetts Ave
Troy, NY 12180-1621
Phone (518) 268-5242

32 Strawberry Hill CT
Stamford, CT 06902-2594
Phone (203) 977-2566

Hospital & facility affiliations

  • Stamford Hospital Hospital, Stamford, CT, CCN 070006
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
341576NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc Family Medicine CurrentSince Aug 2, 2021 Accepting new patients
Samaritan Hospital of Troy, New York Family Medicine CurrentSince Mar 30, 2026 Accepting new patients
Samaritan Hospital of Troy, New York Family Medicine CurrentSince Mar 30, 2026 Accepting new patients

Locations

32 Strawberry Hill Ct
Ste 6
Stamford, CT 06902

32 Strawberry Hill Ct
Fl 4
Stamford, CT 06902
Phone (203) 276-4255

1351 Washington Blvd
Stamford, CT 06902
Phone (203) 276-7464

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

32 Strawberry Hill Ct
Fl 1
Stamford, CT 06902

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

1401 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5242

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1255838819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "address_2": "4TH FL, STE 6",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MASSACHUSETTS AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801621",
            "telephone_number": "518-268-5242",
            "fax_number": "518-268-5480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Strawberry Hill Court",
            "address_2": "4th Fl, Ste 6",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069022594",
            "country_code": "US",
            "telephone_number": "203-977-2566",
            "fax_number": "203-276-2568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINO",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "341576",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "68737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP-Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1401 Massachusetts Ave",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121801621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.