Marina Andrianova, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

272088 Issued in NY

Practice address

258 W Main St
Babylon, NY 11702-3443

Phone

(631) 517-9170

Fax

(631) 517-9113

NPI assigned

May 7, 2010

Last updated

Aug 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Family Medicine PCGroup PAC ID 3173848397, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147

Merit-based Incentive Payment System (MIPS)

Final score

22.68 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

75.59

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Modern Family Medicine PC

  • Primary Care Clinic/Center
  • Babylon, NY
  • NPI 1861890493
  Medicare reassignment Care Compare group NPD Authorized official
• Lifeline Medical Testing PLLC

  • Pulmonary Disease Physician
  • New York, NY
  • NPI 1114634482
  NPD (past)

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

• Nursing Sisters Home Care, Inc.

  dba Catholic Health Home Care

  • Home Health Agency
  • Farmingdale, NY
  • NPI 1780670711
  Care Compare affiliation

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1508184029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023443",
            "telephone_number": "631-517-9170",
            "fax_number": "631-517-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023443",
            "telephone_number": "631-517-9170",
            "fax_number": "631-517-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIANOVA",
        "first_name": "MARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "272088",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "272088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathyanne Amdur, D.C.
• Jonathan Todd Amdur, D.C.
• Dianna Anderson, PTA
• Andrea E Huggler Lac. LLC. (L I Holistic Health Associates)
• Alexandre Gennadievich Andrianov, MD
• Anthony Cipolla Physician, PC
• Antonios P Gasparis MDPC
• Sheena Cas Apun, MD
• Johanna A Arcand, L.AC
• Paul Anthony Arena, PT

• Family Medicine Physician in Babylon, NY
• Providers in Babylon, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.