Active NPI
Lina Rita Merlino, MD
- Pediatrics Physician
- Staten Island, NY
National Provider Identifier
1609940873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 079194
- Practice address
- 341 Port Richmond Avenue
Staten Island, NY 10302 - Phone
- (718) 981-6558
- Fax
- (718) 720-8877
- NPI assigned
- Nov 20, 2006
- Reactivated
- May 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 079194 | NY | Primary |
Addresses
Primary practice location
341 Port Richmond Avenue
Staten Island, NY 10302
Mailing address
341 Port Richmond Avenue
Staten Island, NY 10302
Phone (718) 981-6558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1609940873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 PORT RICHMOND AVENUE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10302",
"telephone_number": "718-981-6558",
"fax_number": "718-720-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 PORT RICHMOND AVENUE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10302",
"telephone_number": "718-981-6558",
"fax_number": "718-720-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERLINO",
"first_name": "LINA",
"middle_name": "RITA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2018-05-14",
"deactivation_date": "2018-03-02",
"reactivation_date": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "079194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
- Christine Merillo, SPECIAL EDUCATION
- Michelle Ann Merindino, LMHC
- Merit Rehab Physical Therapy Assistant PLLC
- Merit Rehab Physical Therapy Assistant PLLC
- John Anthony Merlino, D.P.M.
- Phyllis Gina Merlino, DDS
- Phyllis Nancy Merlino, DPM
- Joseph R. Mermelstein, MD
- Arthur J Merola, DPM
- Joseph Michael Merola, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.