Provider Demographics
NPI:1629273693
Name:MARKO, JOY (APN)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:
Last Name:MARKO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:MARKO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN
Mailing Address - Street 1:3 ELEANOR LN
Mailing Address - Street 2:POB 39
Mailing Address - City:ROOSEVELT
Mailing Address - State:NJ
Mailing Address - Zip Code:08555-7003
Mailing Address - Country:US
Mailing Address - Phone:609-443-6818
Mailing Address - Fax:
Practice Address - Street 1:666 PLAINSBORO RD
Practice Address - Street 2:SUITE #1300
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-3030
Practice Address - Country:US
Practice Address - Phone:609-750-1521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00023700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily