Marian Manor, for the Aged and Infirm, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0506 Issued in MA

Legal business name

MARIAN MANOR, FOR THE AGED AND INFIRM, INC.

Doing business as

Marian Manor

Practice address

130 Dorchester Street
South Boston, MA 02127-2642

Phone

(617) 268-3333

Fax

(617) 268-4589

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas A. Miller

Title

Cfo

Phone

(617) 268-3333

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marian Manor Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda A. Paniszyn, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Boston, MA
  • NPI 1851895114
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1821195165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DORCHESTER ST",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272642",
            "telephone_number": "617-268-3333",
            "fax_number": "617-268-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DORCHESTER STREET",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272642",
            "telephone_number": "617-268-3333",
            "fax_number": "617-268-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN MANOR, FOR THE AGED AND INFIRM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-268-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "225415",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110025765A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marian Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Edward Magnan, LADCI
• Carolyn Mahler
• Lianna W Malawski
• Carol Malinowski
• Keith Howard Mantel, LICSW
• Hadas Y Maroun
• Alison Marshall, NP
• Emily Elizabeth Martin, PTA
• Jennifer Anne Masello, MS, RD, LDN
• Massachusetts General Hospital

• Skilled Nursing Facility in South Boston, MA
• Providers in South Boston, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.