GLEN A MARINO MD NPI 1902804511

NPI Information

  • NPI: 1902804511
  • Provider Name: GLEN A MARINO, MD
  • Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 420 S JACKSON ST
    POTTSVILLE, PA
    ZIP 17901
  • Phone: (570) 621-5210

Map and Directions

Get Directions

NPI Details

Glen A Marino, MD is a neuromusculoskeletal medicine omm in Pottsville, PA. The provider is 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. Glen A Marino, MD NPI is 1902804511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 S JACKSON ST
POTTSVILLE, PA
ZIP 17901-625
Phone: (570) 621-5210
Fax: (570) 621-9301

The NPI 1902804511 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS:95886)
  • Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS:95886)
  • Nerve conduction, 9-10 studies (HCPCS:95911)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 7/8/2005 and was last updated on 10/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204D00000XNeuromusculoskeletal Medicine & OMMMD046567LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10012823420005MEDICAIDPENNSYLVANIA
2F29508MEDICARE UPIN
3719208MEDICARE UPINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI