NPIMap

Organization Active NPI

Leslie Marino MD PLLC

  • Psychiatry Physician
  • Babylon, NY
National Provider Identifier
1356927693
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LESLIE MARINO MD PLLC
Practice address
50 Park Ave
Babylon, NY 11702-1708
Phone
(631) 502-7938
Fax
(631) 382-0348
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Leslie MarinoNPI 1841581477
Title
Owner
Phone
(631) 502-7938

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

50 Park Ave
Babylon, NY 11702-1708

Mailing address

50 Park Ave
Babylon, NY 11702-1708
Phone (631) 502-7938

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lesliemarinomd@outlook.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240226000042 NY Part B Supplier - Clinic/Group Practice 5092150573 Receives reassigned benefits from 4 practitioners
Practice locations: Babylon, NY

National Provider Directory

National Provider Directory

Locations

74 Fire Island Ave
Ste 5
Babylon, NY 11702
Phone (631) 539-6405

50 Park Ave
Babylon, NY 11702
Phone (631) 422-4234

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1356927693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021708",
            "telephone_number": "631-502-7938",
            "fax_number": "631-382-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021708",
            "telephone_number": "631-502-7938",
            "fax_number": "631-382-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE MARINO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-502-7938"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lesliemarinomd@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Any",
            "address_1": "50 Park Ave",
            "city": "Babylon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117021708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.