Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marie Rose Fobben, PA-C

Individual provider Physician Assistant · NPI 1356014518

Marie Rose Fobben, PA-C is a Physician Assistant in Florham Park, New Jersey. Qualified in 2021, 5 years ago. Practices with Center for Dermatology PA, a 2-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

128 Columbia Tpke Ste 200
Florham Park, NJ 07932-2283
Phone: (973) 736-9535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00632500 (NJ)

Record details

NPI number1356014518
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 26, 2021
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Center For Dermatology Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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