Provider Demographics
NPI:1053650846
Name:MARINI, JOY H (MSPAC)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:H
Last Name:MARINI
Suffix:
Gender:F
Credentials:MSPAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 GERALDINE DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-3521
Mailing Address - Country:US
Mailing Address - Phone:732-521-5033
Mailing Address - Fax:
Practice Address - Street 1:8 GERALDINE DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-3521
Practice Address - Country:US
Practice Address - Phone:732-521-5033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00034100363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant