Provider Demographics
NPI:1184982779
Name:MARINO, MARTIN J JR (RN)
Entity type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:J
Last Name:MARINO
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:MARTIN
Other - Middle Name:J
Other - Last Name:MARINO
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:1945 HWY 33
Mailing Address - Street 2:CRISIS UNIT
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753
Mailing Address - Country:US
Mailing Address - Phone:732-776-2325
Mailing Address - Fax:
Practice Address - Street 1:1945 ROUTE 33
Practice Address - Street 2:CRISIS UNIT
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4859
Practice Address - Country:US
Practice Address - Phone:732-776-2325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13961500163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health