Healthcare Provider Details

I. General information

NPI: 1598696064
Provider Name (Legal Business Name): MORGAN STAVENIK APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 HANOVER RD STE 210
FLORHAM PARK NJ
07932-1508
US

IV. Provider business mailing address

105 RAIDER BLVD STE 101
HILLSBOROUGH NJ
08844-1528
US

V. Phone/Fax

Practice location:
  • Phone: 973-993-5950
  • Fax:
Mailing address:
  • Phone: 908-281-0221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15509800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: