Individual provider Active NPI

Angela K Marino, D.D.S.

  • General Practice Dentistry
  • Lyndhurst, OH
National Provider Identifier
1922089820
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19606 Issued in OH
Practice address
5507 Mayfield Rd
Lyndhurst, OH 44124-2913
Phone
(440) 473-3338
Fax
(440) 473-1988
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19606 OH Primary

Addresses

Primary practice location

5507 Mayfield Rd
Lyndhurst, OH 44124-2913

Mailing address

5507 Mayfield Rd
Lyndhurst, OH 44124-2913
Phone (440) 473-3338

Other identifiers 1

IdentifierTypeStateIssuer
2258186MedicaidOH

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19606OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Marino Nassif & Associates Inc General Practice Past Accepting new patients
Dr Nassif and Associates Inc General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922089820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242913",
            "telephone_number": "440-473-3338",
            "fax_number": "440-473-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 MAYFIELD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242913",
            "telephone_number": "440-473-3338",
            "fax_number": "440-473-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "ANGELA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2258186",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.