Active NPI
Joseph V Marino, MD
- Family Medicine Physician
- Jasper, AL
National Provider Identifier
1861549214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29084
- Practice address
- 20 Medical Center Dr
Ste 200
Jasper, AL 35501-3425 - Phone
- (205) 544-2195
- Fax
- (844) 206-1763
- NPI assigned
- Jan 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 153683 | NY | |
| Family Medicine Physician | 207Q00000X | 29084 | AL | Primary |
Addresses
Primary practice location
20 Medical Center Dr
Ste 200
Jasper, AL 35501-3425
Mailing address
20 Medical Center Dr
Ste 200
Jasper, AL 35501-3425
Phone (205) 544-2195
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 |
|---|---|---|---|
| 29084 | AL | MD | Family Medicine Physician |
| 153683 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba NYS Veterans Home at Oxford
- Skilled Nursing Facility
- Oxford, NY
- NPI 1386851004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1861549214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MEDICAL CENTER DR",
"address_2": "STE 200",
"city": "JASPER",
"state": "AL",
"postal_code": "355013425",
"telephone_number": "205-544-2195",
"fax_number": "844-206-1763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MEDICAL CENTER DR",
"address_2": "STE 200",
"city": "JASPER",
"state": "AL",
"postal_code": "355013425",
"telephone_number": "205-544-2195",
"fax_number": "844-206-1763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "JOSEPH",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "153683",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "29084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.