Organization Active NPI

Teresa a. Marlino M.D., LLC

  • Obstetrics & Gynecology Physician
  • Paoli, PA
National Provider Identifier
1861785537
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD067271L Issued in PA
Legal business name
TERESA A. MARLINO M.D., LLC
Practice address
255 W Lancaster Ave
Suite 222 Paoli Medical Building II
Paoli, PA 19301-1763
Phone
(610) 647-5111
Fax
(610) 293-1068
NPI assigned
May 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Teresa A Marlino, M.D.
Title
Owner/Physician
Phone
(610) 647-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD067271L PA Primary

Addresses

Primary practice location

255 W Lancaster Ave
Suite 222 Paoli Medical Building II
Paoli, PA 19301-1763

Mailing address

255 W Lancaster Ave
Suite 222 Paoli Medical Building II
Paoli, PA 19301-1763
Phone (610) 647-5111

National Provider Directory

National Provider Directory

Locations

255 W Lancaster Ave
Ste 222
Paoli, PA 19301
Phone (610) 647-2398

255 W Lancaster Ave
Ofc
Paoli, PA 19301
Phone (610) 296-5804

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3245/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1861785537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "address_2": "SUITE 222 PAOLI MEDICAL BUILDING II",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-647-5111",
            "fax_number": "610-293-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "address_2": "SUITE 222 PAOLI MEDICAL BUILDING II",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-647-5111",
            "fax_number": "610-293-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA A. MARLINO M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "MARLINO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "610-647-5111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD067271L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.