Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mario Marotta, MD

Individual provider Nephrology Physician · NPI 1871591453

Dr. Mario Marotta, MD is a Nephrology in Mineola, New York. Graduated from State University of New York Downstate Medical Center in 1996, 30 years ago. Practices with North Shore Lij Medical Group at North Nassau, PC, a 35-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
30
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Old Country Rd Ste 111
Mineola, NY 11501-4198
Phone: (516) 745-0500
Fax: (516) 745-1534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 208433 (NY)

Record details

NPI number1871591453
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2005
Last updated in NPPESDecember 19, 2012
Mailing address300 Old Country Rd, Suite 111, Mineola, NY 11501-4198

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1996 (30 years in practice)
Group practice North Shore Lij Medical Group At North Nassau, Pc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mineola