Ralph Marin, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

177900 Issued in NY

Practice address

4600 Livingston Ave
Bronx, NY 10471-3335

Phone

(212) 590-5710

Fax

(212) 590-5750

NPI assigned

Oct 9, 2006

Reactivated

Apr 20, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1649367715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29751",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100879751",
            "telephone_number": "212-746-0373",
            "fax_number": "212-746-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LIVINGSTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713335",
            "telephone_number": "212-590-5710",
            "fax_number": "212-590-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "RALPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-04-20",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "177900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Gloria Marin, MS
• Jannete Marin, RN
• Katya Marin
• Melissa Marin
• Patria V Marin, PHD
• Sandra Marin
• Alyssa Rose Marinelli, PA-C
• Diane Marini
• Louis Anthony Marini, LCSW
• Catalina Marino-Villamizar, MD

• Pediatrics Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.