1326261819 NPI number — ROSEMARIE G MARCUS RN APNC

Table of content: ROSEMARIE G MARCUS RN APNC (NPI 1326261819)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326261819 NPI number — ROSEMARIE G MARCUS RN APNC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARCUS
Provider First Name:
ROSEMARIE
Provider Middle Name:
G
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN APNC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SAFTENBERGER
Provider Other First Name:
ROSEMARIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1326261819
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/01/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
384 UNION VALLEY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWFOUNDLAND
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07435
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-545-2567
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
240 FRISCH CT
Provider Second Line Business Practice Location Address:
CHILDRENS AID & FAMILY SERVICES INC
Provider Business Practice Location Address City Name:
PARAMUS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07652-5248
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-226-0300
Provider Business Practice Location Address Fax Number:
201-226-9262
Provider Enumeration Date:
04/11/2007

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: 364SP0809X , with the licence number:  26NC03967000 , 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)