Active NPI
Ignazio R Marino, M.D.
- Transplant Surgery Physician
- Philadelphia, PA
National Provider Identifier
1831115443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- MD045804L
- Practice address
- 1100 Walnut St
Philadelphia, PA 19107-5563 - Phone
- (215) 955-6750
- Fax
- (215) 923-8222
- NPI assigned
- Jul 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | MD045804L | PA | Primary |
| Surgery Physician | 208600000X | MD045804L | PA |
Addresses
Primary practice location
1100 Walnut St
Philadelphia, PA 19107-5563
Mailing address
615 Chestnut St
14TH Floor
Philadelphia, PA 19106-4404
Phone (215) 955-1175
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD045804L | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1831115443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CHESTNUT ST",
"address_2": "14TH FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064404",
"telephone_number": "215-955-1175",
"fax_number": "215-955-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075563",
"telephone_number": "215-955-6750",
"fax_number": "215-923-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "IGNAZIO",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "PA",
"license": "MD045804L",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD045804L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.