Active NPI
Lauren J. Marino, RD
- Registered Dietitian
- Ithaca, NY
National Provider Identifier
1275830358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007955
- Practice address
- 310 Old Taughannock Blvd
Ithaca, NY 14850 - Phone
- (607) 252-3590
- NPI assigned
- Feb 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 007955 | NY | Primary |
Addresses
Primary practice location
310 Old Taughannock Blvd
Ithaca, NY 14850
Mailing address
6 Village Cir
Apt D
Ithaca, NY 14850-8584
Phone (570) 419-4412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007955 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1275830358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 VILLAGE CIR",
"address_2": "APT D",
"city": "ITHACA",
"state": "NY",
"postal_code": "148508584",
"telephone_number": "570-419-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 OLD TAUGHANNOCK BLVD",
"city": "ITHACA",
"state": "NY",
"postal_code": "14850",
"telephone_number": "607-252-3590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "LAUREN",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-25",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.