Healthcare Provider Details

I. General information

NPI: 1336959097
Provider Name (Legal Business Name): MORRIS N QUAYE NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 MADISON AVENUE, 1ST FLOOR
MOUNT HOLLY NJ
08060
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 609-914-6000
  • Fax: 609-914-6182
Mailing address:
  • Phone: 609-914-6000
  • Fax: 609-914-6182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15164800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: