Provider Demographics
NPI:1598775454
Name:MORGIEVICH, MARIE (APN)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:
Last Name:MORGIEVICH
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 OLD SHORT HILLS RD
Mailing Address - Street 2:TRANSPLANT DIVISION - 3RD FL. EAST WING
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5672
Mailing Address - Country:US
Mailing Address - Phone:973-322-2286
Mailing Address - Fax:973-322-2634
Practice Address - Street 1:94 OLD SHORT HILLS RD
Practice Address - Street 2:TRANSPLANT DIVISION - 3RD FL. EAST WING
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5672
Practice Address - Country:US
Practice Address - Phone:973-322-2286
Practice Address - Fax:973-322-2634
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00014700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0019097Medicaid
NJQ12084Medicare UPIN
NJ077660Medicare ID - Type Unspecified