Healthcare Provider Details

I. General information

NPI: 1114805744
Provider Name (Legal Business Name): PATRICIA M MARRONE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 FELLOWSHIP RD
BASKING RIDGE NJ
07920-3915
US

IV. Provider business mailing address

710 NEW YORK AVE
RARITAN NJ
08869-1206
US

V. Phone/Fax

Practice location:
  • Phone: 908-340-3313
  • Fax: 908-647-3963
Mailing address:
  • Phone: 908-581-0410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number40QB00236200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: