Edgar L. Marin, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

131675 Issued in NY

Practice address

285 Middle Country Rd
Suite LL-5
Smithtown, NY 11787-2980

Phone

(631) 265-6717

Fax

(631) 265-6714

NPI assigned

Dec 4, 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

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1295893295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 MIDDLE COUNTRY RD",
            "address_2": "SUITE LL-5",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872980",
            "telephone_number": "631-265-6717",
            "fax_number": "631-265-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MIDDLE COUNTRY RD",
            "address_2": "SUITE LL-5",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872980",
            "telephone_number": "631-265-6717",
            "fax_number": "631-265-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "EDGAR",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "131675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00907644",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Mardkha, PTA
• Brian H Margolis, MD
• David M Margulies, M.D.
• Jillian Margulies, NP
• Marin Medical Services, PLLC
• Morisa J Marin, M.D.
• Marina I Peredo MD PC
• Sarah Marine, FNP-C
• Luiziana Manuela Marinescu, M.D.
• Marjorie C. Ravitz DPM PC

• Physical Medicine & Rehabilitation Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.