Julie Becker, PA – Physician Assistant

Key facts

NPI: 1215005194
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 25MP00018900 (NJ)
Practice address: 1114 Goffle Rd Ste 104
Hawthorne, NJ 07506-2014
Phone: (973) 636-9000
Fax: (833) 493-1245
NPI assigned: Dec 1, 2006
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Primary Care for the Homebound PA Home Health Agency · Verona, NJ · NPI 1609206671

Medicare reassignment NJ

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

St Josephs University Medical Center Inc. General Acute Care Hospital · Paterson, NJ · NPI 1669462420

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 1994
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

271 Grove Ave
Suite E
Verona, NJ 07044-1730

271 Grove Ave
Suite E
Verona, NJ 07044-1796

Hospital & facility affiliations

St Joseph'S University Medical Center Inc Hospital · Paterson, NJ · CCN 310019

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NJ
Eligible to order & refer: Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20140813000318	NJ	Practitioner - Physician Assistant	0143447276	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
25MP00018900	NJ	MD	Physician Assistant

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	25MP00018900	NJ	Yes

Addresses

Primary practice location

1114 Goffle Rd Ste 104
Hawthorne, NJ 07506-2014

Mailing address

271 Grove Ave Ste E
Verona, NJ 07044-1730
Phone (973) 559-3700

Other providers in Hawthorne, NJ

All providers in Hawthorne, NJ · Physician Assistant in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.