Marlie G Doriston, PA-C
Physician Assistant in Neptune, New Jersey
1780157966- Practice location
- 1945 State Route 33, Neptune, NJ 07753-4859
- Phone
- 732-776-4135
- Fax
- —
- Last updated
- March 21, 2025
Marlie Gabrielle Doriston is a Physician Assistant based in Neptune, NJ. Marlie Gabrielle Doriston practices in Neptune, NJ and has the professional credentials of PA-C. The NPI Number for Marlie Gabrielle Doriston is 1780157966 and holds a License No. 25MP00902800 (NJ). The current practice location address for Marlie Gabrielle Doriston is 1945 State Route 33, Neptune, NJ 07753-4859 and can be reached out via phone at 732-776-4135.
Provider Profile Details
- NPI Number
- 1780157966
- Provider Name
- Marlie Gabrielle Doriston
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1945 State Route 33, Neptune, NJ 07753-4859
- Phone Number
- 732-776-4135
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 9, 2019
- Last Update Date
- March 21, 2025
- Certification Date
- March 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1945 State Route 33
Neptune, NJ 07753-4859 - City
- Neptune
- State
- New Jersey
- Zip
- 07753-4859
- Phone Number
- 732-776-4135
Provider Business Mailing Address Details
- Address
- 331 Newman Springs RD
Bldg 2, Ste 220
Red Bank, NJ 07701-5688 - City
- Red Bank
- State
- NJ
- Zip
- 07701-5688
License Information
- License Number (1)
- 25MP00902800
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- RT007541
- License State (2)
- PA
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Neptune, NJ
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Frequently Asked Questions
What is the NPI number of Marlie G Doriston, PA-C?
The NPI number of Marlie G Doriston, PA-C is 1780157966. It was assigned on January 9, 2019 and is currently active in the NPPES registry.
What is the specialty of Marlie G Doriston, PA-C?
Marlie G Doriston, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00902800.
Where does Marlie G Doriston, PA-C practice?
The practice location is 1945 State Route 33, Neptune, NJ 07753-4859. The office can be reached at 732-776-4135 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780157966 directly on the NPPES registry website.