Marissa Martino, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN005713 Issued in PA

Practice address

18 Harbor Pointe Dr
Haverstraw, NY 10927

Phone

(610) 506-8930

NPI assigned

Aug 21, 2015

Last updated

Aug 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1912374273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HARBOR POINTE DR",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109272102",
            "telephone_number": "610-506-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HARBOR POINTE DR",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "10927",
            "telephone_number": "610-506-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "MARISSA",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "86013223",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Ernesto Lugo, M.D.
• Magnolia Home Care Services, LLC
• Miranda Carina Maldonado, DNP, MSN
• Mirona Mandel, CNM
• Erica Martinez
• Rekha Rebecca Mathew, DMD
• Darcy Cherie Matthys, M.S., CCC-SLP
• Patricia Mauro, LCSW
• Michele Medwin, DMIN LMHC
• Vanessa M Mena

• Registered Dietitian in Haverstraw, NY
• Providers in Haverstraw, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.