Healthcare Provider Details

I. General information

NPI: 1871426528
Provider Name (Legal Business Name): MARLENE TARSHISH PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 BROOKHILL AVE
EDISON NJ
08817-3432
US

IV. Provider business mailing address

146 N 10TH AVE
HIGHLAND PARK NJ
08904-3632
US

V. Phone/Fax

Practice location:
  • Phone: 908-278-9577
  • Fax:
Mailing address:
  • Phone: 908-489-4687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number40QA00339400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: