Nicolin M Marino

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0352209 Issued in NY

Practice address

1025 Northern Blvd Ste 306
Roslyn, NY 11576-1506

Phone

(516) 627-4151

NPI assigned

Dec 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1639837651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 DRAKE LN",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301228",
            "telephone_number": "516-551-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 NORTHERN BLVD STE 306",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761506",
            "telephone_number": "516-627-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Drake Ln",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110301228",
            "country_code": "US",
            "telephone_number": "516-551-8756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINO",
        "first_name": "NICOLIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "0352209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catalina Maldonado
• Patrick Mancini, DPT
• Maranda Manieram-Arjune, NP
• Jordan Jacob Margolis, LMSW
• Jacqueline Aurora Marino, PA-C
• Erin Marie Markey, R.N.,M.S.,APRN-BC
• Princess Lorraine Martinez-Bangay, N.P.
• Joan Catherine Martins, LCSWR
• Jill Slavin Mashaal, PH.D.
• Michael Mashaal, M.D.

• Periodontics in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.