Provider Demographics
NPI:1629254388
Name:GORNY, MARGARET JUDGE (APRN-BC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:JUDGE
Last Name:GORNY
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HEMLOCK DR
Mailing Address - Street 2:
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9719
Mailing Address - Country:US
Mailing Address - Phone:973-299-0801
Mailing Address - Fax:
Practice Address - Street 1:18 ADAMS WAY
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4335
Practice Address - Country:US
Practice Address - Phone:973-402-9554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-12
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00135600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health