Individual provider Active NPI

Linda Rose Marinello

  • General Practice Dentistry
  • Brookline, MA
National Provider Identifier
1447475884
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19089 Issued in MA
Practice address
1678 Beacon St
Brookline, MA 02445-2113
Phone
(617) 566-1007
Fax
(617) 924-2999
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19089 MA Primary

Addresses

Primary practice location

1678 Beacon St
Brookline, MA 02445-2113

Mailing address

18 Fuller Street
#3 Apt
Brookline, MA 02446-2404
Phone (617) 645-2134

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150521000352 MA Order and Referring Only - DentistPractitioner - Dentist 4587984224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19089MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Linda R Marinello Current Accepting new patients
Joseph J Salusti DMD PC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1447475884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FULLER STREET",
            "address_2": "#3 APT",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462404",
            "telephone_number": "617-645-2134",
            "fax_number": "617-566-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024452113",
            "telephone_number": "617-566-1007",
            "fax_number": "617-924-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINELLO",
        "first_name": "LINDA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.