MR. MARINO A POLISENO DO
NPI 1578550596
Obstetrics & Gynecology in Staten Island, NY

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
1050 CLOVE RD, STATEN ISLAND, NY 10301(718) 442-4300(718) 816-8369 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Marino A Poliseno Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARINO A POLISENO DO (NPI 1578550596) is an individual obstetrics & gynecology provider in Staten Island, New York, licensed in New York (225825) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Richmond University Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1995).

NPPES Registry Identity

NPI1578550596
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. MARINO A POLISENOCredential: DO
Location Address1050 CLOVE RDStaten Island, NY 10301-3627
Mailing Address1050 Clove RdStaten Island, NY 10301-3627 · (646) 680-2888
Fax(718) 816-8369
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1995
Enumeration DateOctober 4, 2005
Last NPPES UpdateJuly 16, 2015
✔ NPI 1578550596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 225825
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1050 CLOVE RD, Staten Island, NY 10301

Other Identifiers 5

Other7166589Aetna
Other0297012Ghi
Medicare UPINI18459
Medicaid02590985NY
Medicare PIN726C1GW791NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Marino A Poliseno Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820059397
PECOS Enrollment IDI20041019001147
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Marino Poliseno reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
355 BARD AVE
Staten Island, NY 10310
  • Reassigned Medicare billing, New York enrollment
  • 305 clinicians in this Medicare group
Obstetrics & Gynecology
601 ELMWOOD AVE, BOX 668
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 182 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Richmond University Medical Center

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330028
Location355 Bard AvenueStaten Island, NY 10310 · Richmond County
Emergency services Birthing friendly

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Nurse Practitioner (Family)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Internal Medicine
1050 CLOVE RD
STATEN ISLAND, NY 10301
Internal Medicine (Gastroenterology)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Surgery
1050 CLOVE RD
STATEN ISLAND, NY 10301
Internal Medicine
1050 CLOVE RD, UCC
STATEN ISLAND, NY 10301
Pediatrics
1050 CLOVE RD
STATEN ISLAND, NY 10301
Obstetrics & Gynecology
1050 CLOVE RD
STATEN ISLAND, NY 10301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marino Poliseno's NPI number?

The NPI number for Marino Poliseno is 1578550596. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Marino Poliseno located?

Marino Poliseno practices at 1050 Clove Rd, Staten Island, NY 10301. The listed phone number is (718) 442-4300.

What is Marino Poliseno's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Marino Poliseno enrolled in Medicare?

Yes. Marino Poliseno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marino Poliseno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marino Poliseno reassigns Medicare benefits to 2 organizations: Amboy Medical Practice PC (Staten Island, NY) and Strong Obstetrics-Gynecology Group (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marino Poliseno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marino Poliseno affiliated with any hospitals?

According to CMS data, Marino Poliseno is affiliated with Richmond University Medical Center and Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Marino Poliseno was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.