Active NPI
Marin Medical Services, PLLC
- Physical Medicine & Rehabilitation Physician
- Smithtown, NY
National Provider Identifier
1790988533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 131675
- Legal business name
- MARIN MEDICAL SERVICES, PLLC
- Practice address
- 285 Middle Country Rd
Suite LL-5
Smithtown, NY 11787-2980 - Phone
- (631) 265-6717
- Fax
- (631) 265-6714
- NPI assigned
- Jun 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edgar L. Marin, M.D.
- Title
- Sole Owner
- Phone
- (631) 265-6717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 131675 | NY | Primary |
Addresses
Primary practice location
285 Middle Country Rd
Suite LL-5
Smithtown, NY 11787-2980
Mailing address
285 Middle Country Rd
Suite LL-5
Smithtown, NY 11787-2980
Phone (631) 265-6717
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Smithtown, NY
- NPI 1295893295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408665600000",
"number": "1790988533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 MIDDLE COUNTRY RD",
"address_2": "SUITE LL-5",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872980",
"telephone_number": "631-265-6717",
"fax_number": "631-265-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 MIDDLE COUNTRY RD",
"address_2": "SUITE LL-5",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872980",
"telephone_number": "631-265-6717",
"fax_number": "631-265-6714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIN MEDICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-08",
"last_updated": "2014-08-22",
"status": "A",
"authorized_official_last_name": "MARIN",
"authorized_official_first_name": "EDGAR",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "631-265-6717",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "131675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.