Provider Demographics
NPI:1194325944
Name:CONSULTRX
Entity type:Organization
Organization Name:CONSULTRX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MURAKATA
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:732-337-0220
Mailing Address - Street 1:18 VICTOR PL
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-1321
Mailing Address - Country:US
Mailing Address - Phone:732-337-0220
Mailing Address - Fax:
Practice Address - Street 1:10A MAIN ST
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-3413
Practice Address - Country:US
Practice Address - Phone:877-606-7333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty