Individual provider Active NPI

Joseph Michael Marino, MD

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1295794287
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125606 Issued in NY
Practice address
220 Linden Oaks
Suite 100
Rochester, NY 14625-2839
Phone
(585) 249-1340
Fax
(585) 249-1349
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125606 NY Primary

Addresses

Primary practice location

220 Linden Oaks
Suite 100
Rochester, NY 14625-2839

Mailing address

220 Linden Oaks
Suite 100
Rochester, NY 14625-2839
Phone (585) 249-1340

Other identifiers 5

IdentifierTypeStateIssuer
00464475MedicaidNY
100732BJOtherNYPREFERREDCARE PROVIDER
6739OtherNYBLUECROSSBLUESHIELD
7512314OtherNYAETNA
PO10125606OtherNYBLUE CHOICE PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120213000069 NY Practitioner - Internal Medicine 6800823949 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Jul 2, 2018 Accepting new patients
Rochester General Hospital Internal Medicine Current Accepting new patients
Rochester General Hospital Internal Medicine CurrentSince Jul 2, 2018 Accepting new patients
Western New York Medical Practice P.C. Internal Medicine CurrentSince Jul 2, 2018 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jul 2, 2018 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jul 2, 2018 Accepting new patients
Summit Medical Group, Inc Internal Medicine Past Accepting new patients
Central Jersey Colon and Rectal Surgeons PA PastSince Jun 20, 1994 Accepting new patients

Locations

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

220 Linden Oaks
Ste 100
Rochester, NY 14625
Phone (585) 248-2019

220 Linden Oaks
Ste 200
Rochester, NY 14625
Phone (585) 381-4848

Organizations & group practices 8

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295794287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LINDEN OAKS",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252839",
            "telephone_number": "585-249-1340",
            "fax_number": "585-349-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LINDEN OAKS",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252839",
            "telephone_number": "585-249-1340",
            "fax_number": "585-249-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "125606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00464475",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDCARE PROVIDER",
            "identifier": "100732BJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "6739",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7512314",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE PROVIDER",
            "identifier": "PO10125606",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.