Provider Demographics
NPI:1215190178
Name:GARCIA-MAROTTA, YLONKA (MD)
Entity Type:Individual
Prefix:DR
First Name:YLONKA
Middle Name:
Last Name:GARCIA-MAROTTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MICHELLE WAY
Mailing Address - Street 2:
Mailing Address - City:PINE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07058-9447
Mailing Address - Country:US
Mailing Address - Phone:973-818-1213
Mailing Address - Fax:
Practice Address - Street 1:363 21ST AVE
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501-3640
Practice Address - Country:US
Practice Address - Phone:973-881-0007
Practice Address - Fax:973-881-0049
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08389400207Q00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0234788Medicaid