Healthcare Provider Details

I. General information

NPI: 1932911385
Provider Name (Legal Business Name): MARIA THERESA GRATH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA THERESA BEYER

II. Dates (important events)

Enumeration Date: 01/23/2025
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MADISON AVE
MORRISTOWN NJ
07960-7357
US

IV. Provider business mailing address

11 RICHWOOD PL
DENVILLE NJ
07834-2614
US

V. Phone/Fax

Practice location:
  • Phone: 973-267-7272
  • Fax:
Mailing address:
  • Phone: 973-476-3022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NJ15257500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: