Provider Demographics
NPI:1134301971
Name:MARKS, STEVEN (APN-C)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:MARKS
Suffix:
Gender:M
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5738 ROUTE 9
Mailing Address - Street 2:HEALTH SERVICES
Mailing Address - City:NEW GRETNA
Mailing Address - State:NJ
Mailing Address - Zip Code:08224
Mailing Address - Country:US
Mailing Address - Phone:609-296-6000
Mailing Address - Fax:609-296-0471
Practice Address - Street 1:5738 ROUTE 9
Practice Address - Street 2:HEALTH SERVICES
Practice Address - City:NEW GRETNA
Practice Address - State:NJ
Practice Address - Zip Code:08224
Practice Address - Country:US
Practice Address - Phone:609-296-6000
Practice Address - Fax:609-296-0471
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00143900363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health