Active NPI
Leonardo Joseph Marino, D.C.
- Chiropractor
- Providence, RI
National Provider Identifier
1811027592
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Oct 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DCP00390
- Practice address
- 1196 Elmwood Ave
Providence, RI 02907-3716 - Phone
- (401) 461-1600
- Fax
- (401) 461-3500
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DCP00390 | RI | Primary |
Addresses
Primary practice location
1196 Elmwood Ave
Providence, RI 02907-3716
Mailing address
1196 Elmwood Ave
Providence, RI 02907-3716
Phone (401) 461-1600
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DCP00390 | RI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Associates, LLC | Past | Accepting new patients | |
| Zola Chiropractic Center Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Independent Medical Examiner Chiropractor
- Providence, RI
- NPI 1871879528
-
- Chiropractor
- Providence, RI
- NPI 1710094693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352851200000",
"number": "1811027592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1196 ELMWOOD AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029073716",
"telephone_number": "401-461-1600",
"fax_number": "401-461-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1196 ELMWOOD AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029073716",
"telephone_number": "401-461-1600",
"fax_number": "401-461-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "LEONARDO",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2012-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "RI",
"license": "DCP00390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.