Individual provider Active NPI

Anthony R Marino, MD

  • Orthopaedic Surgery Physician
  • Nashua, NH
National Provider Identifier
1821032384
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
8319 Issued in NH
Practice address
17 Riverside St
Ste 101
Nashua, NH 03062-1373
Phone
(603) 883-0091
Fax
(603) 881-3739
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 8319 NH Primary

Addresses

Primary practice location

17 Riverside St
Ste 101
Nashua, NH 03062-1373

Mailing address

17 Riverside St
Ste 101
Nashua, NH 03062-1373
Phone (603) 883-0091

Other identifiers 10

IdentifierTypeStateIssuer
1932256914OtherNHNPI, PROVIDER LOCATION
1881772242OtherNHNPI, PROVIDER LOCATION
0102168Y0NH01OtherNHANTHEM BCBS PROVIDER #
1801952692OtherNHNPI, PROVIDER LOCATION
1841320207OtherNHNPI, PROVIDER LOCATION
E42498OtherNHHARVARD PILGRIM #
7168839OtherNHCIGNA PROVIDER #
800000947MedicaidNH
1861558645OtherNHNPI, PROVIDER LOCATION
1922164797OtherNHNPI, PROVIDER LOCATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051022000079 NH Practitioner - Orthopedic Surgery 0941226518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Sunapee Region Vna & HospiceNew London, NH, CCN 307040 Home health agency Corporate Director Feb 2, 2022
Lake Sunapee Regional Vna and HospiceNew London, NH, CCN 301509 Hospice Corporate Director Feb 2, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1821032384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST",
            "address_2": "STE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621373",
            "telephone_number": "603-883-0091",
            "fax_number": "603-881-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RIVERSIDE ST",
            "address_2": "STE 101",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621373",
            "telephone_number": "603-883-0091",
            "fax_number": "603-881-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "ANTHONY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "8319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, PROVIDER LOCATION",
            "identifier": "1932256914",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, PROVIDER LOCATION",
            "identifier": "1881772242",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER #",
            "identifier": "0102168Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, PROVIDER LOCATION",
            "identifier": "1801952692",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, PROVIDER LOCATION",
            "identifier": "1841320207",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM #",
            "identifier": "E42498",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "7168839",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800000947",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, PROVIDER LOCATION",
            "identifier": "1861558645",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, PROVIDER LOCATION",
            "identifier": "1922164797",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.