Vincent James Mariano Jr., DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

15240 Issued in MA

Practice address

16 Gerrard Ave
E Longmeadow, MA 01028-1606

Phone

(413) 731-8800

Fax

(413) 731-8815

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336218544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GERRARD AVE",
            "city": "E LONGMEADOW",
            "state": "MA",
            "postal_code": "010281606",
            "telephone_number": "413-731-8800",
            "fax_number": "413-731-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GERRARD AVE",
            "city": "E LONGMEADOW",
            "state": "MA",
            "postal_code": "010281606",
            "telephone_number": "413-731-8800",
            "fax_number": "413-731-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "VINCENT",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "15240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Hollinger, DMD
• Robert S Howe, MD
• Linda Krasnow
• Lisa B Emirzian DMD & Assoc
• Larry A Litscher, M.D.
• New Path Counseling LLC
• Redwood Pediatric and Adolescent Medicine, LLC
• Richard H. Brody, MD, LLC
• Lesley Colleen Salisbury, LMHC
• Kathleen Salomone, ED.D

• Prosthodontics in E Longmeadow, MA
• Providers in E Longmeadow, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.