Active NPI
Mario Marotta, M.D.
- Nephrology Physician
- Mineola, NY
National Provider Identifier
1871591453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 208433
- Practice address
- 300 Old Country Rd
Suite 111
Mineola, NY 11501-4198 - Phone
- (516) 745-0500
- Fax
- (516) 745-1534
- NPI assigned
- Jul 8, 2005
- Last updated
- Dec 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 208433 | NY | Primary |
Addresses
Primary practice location
300 Old Country Rd
Suite 111
Mineola, NY 11501-4198
Mailing address
300 Old Country Rd
Suite 111
Mineola, NY 11501-4198
Phone (516) 745-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02367586 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- State University of New York Downstate Medical Center, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100
300 Old Country Rd
Suite 111
Mineola, NY 11501-4112
Phone (516) 745-0500
Hospital & facility affiliations
- Atlantic DMS - West Nassau Rockaway Ave
- Long Island Jewish Medical Center
- Plainview Hospital
- Northwell Hospital Glen Cove
- Chsli St Joseph Hospital
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 16.7 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 55.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Lij Medical Group at North Nassau, PC | Current | Accepting new patients | |
| West Nassau Dialysis Center, Inc | Past | Accepting new patients |
Locations
70 Glen St
Ste 200
Glen Cove, NY 11542
Phone (516) 484-7893
300 Community Dr
Manhasset, NY 11030
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
27005 76th Ave
North New Hyde Pk, NY 11040
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mariomarotta@nslijmedgr.allscriptsdirect.net
- mmarotta312208@nyumc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Glen Cove, NY
- NPI 1700175270
-
- Nephrology Physician
- Mineola, NY
- NPI 1992934467
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Valley Stream, NY
- NPI 1396744165
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Valley Stream, NY
- NPI 1396744165
Dialysis facility
-
- General Acute Care Hospital
- Glen Cove, NY
- NPI 1295743060
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Plainview, NY
- NPI 1083621130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1871591453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 OLD COUNTRY RD",
"address_2": "SUITE 111",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014198",
"telephone_number": "516-745-0500",
"fax_number": "516-745-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OLD COUNTRY RD",
"address_2": "SUITE 111",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014198",
"telephone_number": "516-745-0500",
"fax_number": "516-745-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROTTA",
"first_name": "MARIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "208433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02367586",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.