Provider Demographics
| NPI: | 1659887719 |
|---|---|
| Name: | UY, MARIA RIZA (MSN, APN, FNP-C) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | MARIA |
| Middle Name: | RIZA |
| Last Name: | UY |
| Suffix: | |
| Gender: | F |
| Credentials: | MSN, APN, FNP-C |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 45 DENNISON DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | EAST WINDSOR |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 08520-5338 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 131 MORRISTOWN RD |
| Practice Address - Street 2: | |
| Practice Address - City: | BASKING RIDGE |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 07920-1654 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 909-307-8843 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2017-12-26 |
| Last Update Date: | 2024-06-24 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NJ | 26NR11770700 | 163WG0000X |
| NJ | 26NJ00802000 | 363LF0000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
| No | 163WG0000X | Nursing Service Providers | Registered Nurse | General Practice |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NJ | 26NR117700700 | Other | RN LICENSE |
| NJ | 26NJ00802000 | Other | APN LICENSE |