Healthcare Provider Details

I. General information

NPI: 1629242466
Provider Name (Legal Business Name): MARIE M SARUBBI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 SYLVAN AVE STE 100
ENGLEWOOD CLIFFS NJ
07632-3308
US

IV. Provider business mailing address

307 12TH ST
CRESSKILL NJ
07626-1313
US

V. Phone/Fax

Practice location:
  • Phone: 201-569-2770
  • Fax:
Mailing address:
  • Phone: 201-227-9052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License Number26NJ00106800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ00106800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: