Marie Louise Mannino, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04197906 Issued in NJ

Practice address

91 Mountain Ave
Hawthorne, NJ 07506-3331

Phone

(973) 423-3534

NPI assigned

Jan 13, 2013

Last updated

Jan 13, 2013By the provider in NPPES

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358035200000",
    "number": "1790022556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MOUNTAIN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075063331",
            "telephone_number": "973-423-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MOUNTAIN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075063331",
            "telephone_number": "973-423-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNINO",
        "first_name": "MARIE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-13",
        "last_updated": "2013-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04197906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Lozito Jr., D.O.
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• Shazia Majeed, LAC
• Anthony Mangieri, PA
• Vincent A. Margherita, DDS
• Marilee Medical, LLC
• Jillian Lee Marmo, LCADC, LCSW
• Alexander R Mazziotti, M.D.
• Joselyn A McClatchey, LCSW

• Internal Medicine Physician in Hawthorne, NJ
• Providers in Hawthorne, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.