GLEN A MARINO MD
NPI 1902804511
Neuromusculoskeletal Medicine & OMM in Pottsville, PA

Q: What is Glen Marino's NPI number?

The NPI number for Glen Marino is 1902804511. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Q: What is Glen Marino's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Marino was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 08, 2005PECOS Enrolled

420 S JACKSON ST, POTTSVILLE, PA 17901(570) 621-5210(570) 621-9301 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Glen A Marino Md NPPES

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

GLEN A MARINO MD (NPI 1902804511) is an individual neuromusculoskeletal medicine & omm provider in Pottsville, Pennsylvania, licensed in Pennsylvania (MD046567L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902804511

Entity TypeIndividualMale

Primary Taxonomy204D00000X

Provider Legal NameGLEN A MARINOCredential: MD

Location Address420 S JACKSON STPottsville, PA 17901-3625

Mailing AddressPo Box 327Orwigsburg, PA 17961-0327 · (570) 621-5121 · Fax (570) 621-9301

Phone(570) 621-5210

Fax(570) 621-9301

Sole ProprietorYes

Enumeration DateJuly 8, 2005

Last NPPES UpdateOctober 17, 2007

✔ NPI 1902804511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in PA · MD046567L

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

420 S JACKSON ST, Pottsville, PA 17901

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Other Identifiers 3

Medicaid0012823420005PA

Medicare UPINF29508

Medicare UPIN719208PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glen A Marino Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

POTTSVILLE RADIOLOGY ASSOCIATES

Radiology (Diagnostic Radiology)