NPIMap

Individual provider Active NPI

Anthony Marino, MD

  • Specialist
  • Methuen, MA
National Provider Identifier
1386630804
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
46674 Issued in MA
Practice address
99 Jackson St
Methuen, MA 01844
Phone
(978) 689-2540
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 46674 MA Primary

Addresses

Primary practice location

99 Jackson St
Methuen, MA 01844

Mailing address

99 Jackson St
Sally G
Methuen, MA 01844
Phone (978) 629-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040216000090 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749174233 Reassigns benefits to 6 organizations
I20180918001563 NH Practitioner - Cardiovascular Disease (Cardiology) 0749174233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Massachusetts Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lawrence General HospitalGroup PAC ID 5092725200, 124 clinicians

Practice addresses (Care Compare)

1 General St
Lawrence, MA 01841-2961
Phone 97868340002979

99 Jackson St
Methuen, MA 01844-5044
Phone (978) 689-2540

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kan-Di-Ki LLC CurrentSince Mar 1, 2020 Accepting new patients
American Diagnostics Services LLC CurrentSince Jul 1, 2022 Accepting new patients
American Diagnostics Services LLC CurrentSince Mar 1, 2024 Accepting new patients
Kan-Di-Ki, LLC Current Accepting new patients
Lawrence General Hospital Current Accepting new patients
Anthony F. Marino, M.D., P.C. Specialist CurrentSince Oct 23, 1984 Accepting new patients
Lawrence General Hospital CurrentSince Aug 24, 1982 Accepting new patients
Anthony F Marino LLC Specialist CurrentSince Dec 7, 2019 Accepting new patients
General Primary Care of Lawrence CurrentSince Aug 24, 1982 Accepting new patients
Symphony Diagnostic Services No 1 LLC CurrentSince Nov 19, 2018 Accepting new patients
Northern Radiology Associates Past Accepting new patients

Locations

2 Jonathan Dr
Brockton, MA 02301
Phone (508) 313-0070

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

70 East St
Methuen, MA 01844
Phone (978) 682-1906

99 Jackson St
#G
Methuen, MA 01844

99 Jackson St
Methuen, MA 01844
Phone (978) 689-2540

930 Ridgebrook Rd
Fl 3
Sparks Glencoe, MD 21152
Phone (443) 662-4101

8030 Old Cedar Ave S
Ste 226
Bloomington, MN 55425
Phone (866) 682-5454

836 Candia Rd
Unit A
Manchester, NH 03109
Phone (603) 622-8815

Interoperability endpoints

  • Direct secure messaging: anthony.marino.1@5988.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5988/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386630804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JACKSON ST",
            "address_2": "SALLY G",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-629-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 JACKSON ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-689-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "46674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.