Healthcare Provider Details

I. General information

NPI: 1033928890
Provider Name (Legal Business Name): MARIAN KUYATEH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 ROUTE 27 SUITE B
FRANKLIN TOWNSHIP NJ
08873
US

IV. Provider business mailing address

1323 ROUTE 27 SUITE B
SOMERSET NJ
08873
US

V. Phone/Fax

Practice location:
  • Phone: 732-470-5709
  • Fax:
Mailing address:
  • Phone: 732-470-5709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: