Provider Demographics
NPI:1215006341
Name:MARINO, DENAY L (DO)
Entity Type:Individual
Prefix:DR
First Name:DENAY
Middle Name:L
Last Name:MARINO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 593
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-0593
Mailing Address - Country:US
Mailing Address - Phone:609-463-2755
Mailing Address - Fax:609-463-2757
Practice Address - Street 1:4011 ROUTE 9 S
Practice Address - Street 2:SUITE 201
Practice Address - City:RIO GRANDE
Practice Address - State:NJ
Practice Address - Zip Code:08242-1916
Practice Address - Country:US
Practice Address - Phone:609-770-7788
Practice Address - Fax:609-770-7774
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB52020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ387150901Medicaid
NJ387150901Medicaid
NJ628886WXTMedicare PIN
NJ2K2842OtherHEALTH NET
NJ84146OtherCHAMPVA HAC
NJP759618OtherTRICARE PALMETTO
NJ387150901Medicaid
NJP759618OtherOXFORD
NJ87726OtherUNITED HEALTH
NJ3151813001OtherCIGNA
NJ60000907OtherNJ HEALTH
NJJ6532OtherHORIZON BC BS
NJE75154Medicare UPIN