1629273693 NPI number — MS. JOY MARKO APN

Table of content: MS. JOY MARKO APN (NPI 1629273693)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629273693 NPI number — MS. JOY MARKO APN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARKO
Provider First Name:
JOY
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
APN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MARKO
Provider Other First Name:
JOY
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
APN
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1629273693
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 ELEANOR LN
Provider Second Line Business Mailing Address:
POB 39
Provider Business Mailing Address City Name:
ROOSEVELT
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08555-7003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-443-6818
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
666 PLAINSBORO RD
Provider Second Line Business Practice Location Address:
SUITE #1300
Provider Business Practice Location Address City Name:
PLAINSBORO
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08536-3030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-750-1521
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/19/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  26NJ00023700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)