Mark C Marino, MA, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

0167201 Issued in NY

Practice address

2500 Nesconset Hwy.
BLDG. 22B
Stony Brook, NY 11790

Phone

(631) 751-7988

Fax

(631) 751-7989

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• North Island Physical Therapy, PC

  • Specialist
  • Stony Brook, NY
  • NPI 1326131392
  NPD Authorized official
• Robert Mosca Physical Therapy, PLLC

  • Specialist
  • Stony Brook, NY
  • NPI 1235545732
  NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1295828275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY.",
            "address_2": "BLDG. 22B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-751-7988",
            "fax_number": "631-751-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY.",
            "address_2": "BLDG. 22B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-751-7988",
            "fax_number": "631-751-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "MA, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0167201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "QT0841",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Vincent Maresca, DDS,ABO
• Justin Margolis, M.D.
• Jade Marhaba, MD
• Marie H. Bances
• Daniel M Marino, MD
• Melissa Lynn Marji, M.D.
• Rochelle Anna-Kaye Marriott, FNP
• Stacey Lauren Marrone, LMSW
• Craig Marshall, PHD
• Jocasta Dimitra Marshall

• Specialist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.