Provider Demographics
NPI:1417096496
Name:MONKS, RITA DOREEN (RN,MSN,APN-BC (NP))
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:DOREEN
Last Name:MONKS
Suffix:
Gender:F
Credentials:RN,MSN,APN-BC (NP)
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Mailing Address - Street 1:94 OLD SHORT HILLS RD
Mailing Address - Street 2:EAST WING SUITE 505
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5672
Mailing Address - Country:US
Mailing Address - Phone:973-322-9742
Mailing Address - Fax:973-322-2232
Practice Address - Street 1:94 OLD SHORT HILLS RD
Practice Address - Street 2:EAST WING SUITE 505
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5672
Practice Address - Country:US
Practice Address - Phone:973-322-9742
Practice Address - Fax:973-322-2232
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NO05854500363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7745907Medicaid