Physician Compare National (NPI:1164686960)

HEALTHCARE PROVIDER: TATYANA MARX

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1164686960
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153485172
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090205000391
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARX
	Individual professional last name
Provider First Name	TATYANA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NEUROLOGY SPECIALISTS OF MORRIS COUNTY, LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8224192257
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1000 GALLOPING HILL RD
	Group Practice or individual's line 1 address
City	UNION
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070837989
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9732920999
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310076
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT BARNABAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310015
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MORRISTOWN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	310051
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OVERLOOK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	310009
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CLARA MAASS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	310096
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	SAINT MICHAEL'S MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1164686960)

HEALTHCARE PROVIDER: TATYANA MARX

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information