Individual provider Active NPI

Joseph Frederick Marino, DO

  • Obstetrics & Gynecology Physician
  • Deltona, FL
National Provider Identifier
1962445072
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB02940200 Issued in NJ
Practice address
1745 Sterling Silver Blvd
Ste 104
Deltona, FL 32725-5642
Phone
(386) 917-7480
Fax
(386) 917-7476
NPI assigned
Jun 14, 2006
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB02940200 NJ Primary

Addresses

Primary practice location

1745 Sterling Silver Blvd
Ste 104
Deltona, FL 32725-5642

Mailing address

1745 Sterling Silver Blvd
Ste 104
Deltona, FL 32725-5642
Phone (386) 917-7480

Other identifiers 1

IdentifierTypeStateIssuer
3410803MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203000636 NJ Practitioner - Obstetrics/Gynecology 9830082080 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Services Corporation CurrentSince Jun 1, 2020 Accepting new patients
Ocean Health Initiatives Inc Obstetrics & Gynecology Current Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Jul 1, 2019 Accepting new patients
Neighborhood Health Services Corporation CurrentSince Jun 1, 2020 Accepting new patients
Ocean Health Initiatives,Inc CurrentSince Jul 1, 2019 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Oct 19, 2018 Accepting new patients
Lourdes Medical Associates PA Obstetrics & Gynecology Past Accepting new patients
A Woman's Place, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

1700 Myrtle Ave
#58
Plainfield, NJ 07063
Phone (908) 753-6401

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/sqiH60CNKO9o0PByEO9XAxX0dZX5s5b2/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1962445072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 STERLING SILVER BLVD",
            "address_2": "STE 104",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255642",
            "telephone_number": "386-917-7480",
            "fax_number": "386-917-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 STERLING SILVER BLVD",
            "address_2": "STE 104",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255642",
            "telephone_number": "386-917-7480",
            "fax_number": "386-917-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "JOSEPH",
        "middle_name": "FREDERICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB02940200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.