Provider Demographics
NPI:1992883227
Name:MARLINSKI, PATRICIA (NP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:MARLINSKI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1054 PIERPONT ST
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-3117
Mailing Address - Country:US
Mailing Address - Phone:732-388-1628
Mailing Address - Fax:973-765-9366
Practice Address - Street 1:7 COLUMBIA TPKE
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2201
Practice Address - Country:US
Practice Address - Phone:973-765-9355
Practice Address - Fax:973-765-9366
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08458100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ026889M9JMedicare ID - Type UnspecifiedMEDICARE
NJS79541Medicare UPIN