Active NPI
A Michael Marino, M.D.
- Pulmonary Disease Physician
- Greenwich, CT
National Provider Identifier
1902810583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 014825
- Practice address
- 5 Perryridge Rd
Greenwich, CT 06830-4608 - Phone
- (203) 661-5379
- Fax
- (203) 863-3996
- NPI assigned
- Jul 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 014825 | CT | Primary |
Addresses
Primary practice location
5 Perryridge Rd
Greenwich, CT 06830-4608
Mailing address
5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 661-5379
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2036295 | Other | AETNA | |
| 010014825CT01 | Other | CT | ANTHEM |
| 0180124003 | Other | CIGNA | |
| 014825 | Other | CONNECTICARE | |
| ZS646 | Other | OXFORD | |
| 0V6202 | Other | HEALTHNET | |
| 2188669 | Other | PHCS |
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 |
|---|---|---|---|
| 014825 | CT | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1902810583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PERRYRIDGE RD",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304608",
"telephone_number": "203-661-5379",
"fax_number": "203-863-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PERRYRIDGE RD",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304608",
"telephone_number": "203-661-5379",
"fax_number": "203-863-3996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "A",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "014825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2036295",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "010014825CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0180124003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "014825",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ZS646",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0V6202",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "2188669",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.