Marino Mesidor, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

155000 Issued in NY

Practice address

2094 Pitkin Ave
East New York D&TC
Brooklyn, NY 11207-3509

Phone

(718) 240-0490

NPI assigned

Dec 20, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1518943786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BIRCHWOOD PARK DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532206",
            "telephone_number": "516-822-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 PITKIN AVE",
            "address_2": "EAST NEW YORK D&TC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112073509",
            "telephone_number": "718-240-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESIDOR",
        "first_name": "MARINO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "155000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01758121",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alla Mesh, MD
• Ksenia Meshcheryakova, LCSW
• Chaya G Meshizahav, LMSW
• Kalya Meshulam, OTR/L
• Jasmine Bianca Mesidor
• Micheline Mesidor, MS
• Megi Meskhadze
• Darejan Meskhi, COTA
• Anne Deborah Mesmain
• Rovie Theresa Pato Mesola, MD

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.