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NPI Code Detail

MEDICARE: MS. MARIE M SARUBBI NP

MEDICARE:  MS. MARIE M SARUBBI  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WX0800XOrthopedic Registered Nurse26NJ00106800NJ
2363L00000XNurse Practitioner26NJ00106800NJ

General Provider Information

NPI Number : 1629242466
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIE M SARUBBI NP
Provider Business Mailing Address
First Line : 307 12TH ST
Second Line :
City : CRESSKILL
State : NJ
Zip : 07626-1313
Country : US
Telephone Number : 201-227-9052
Fax Number :
Provider Business Practice Location Address
First Line : 910 SYLVAN AVE STE 100
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-3308
Country : US
Telephone Number : 201-569-2770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2008
Last Update Date : 05/08/2025

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