Provider Demographics
NPI:1164112454
Name:CARTY-ORTEGA, MONIQUE DENISE (NP)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:DENISE
Last Name:CARTY-ORTEGA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:MONIQUE
Other - Middle Name:DENISE
Other - Last Name:CARTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:80 MICHAEL ST
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830
Mailing Address - Country:US
Mailing Address - Phone:732-516-8805
Mailing Address - Fax:
Practice Address - Street 1:1020 STATE ROUTE 18 E
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816
Practice Address - Country:US
Practice Address - Phone:732-238-1405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01474200363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology