Active NPI
Diana Neal Juelg, APN
- Pediatric Nurse Practitioner
- Somerdale, NJ
National Provider Identifier
1336344548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26NJ00098200
- Practice address
- 22 E. Evergreen Avenue
Somerdale, NJ 08083 - Phone
- (856) 309-5429
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ00098200 | NJ | Primary |
Addresses
Primary practice location
22 E. Evergreen Avenue
Somerdale, NJ 08083
Mailing address
7605 Normandy Dr
Mount Laurel, NJ 08054-5984
Phone (609) 760-3885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00098200 | NJ | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336344548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7605 NORMANDY DR",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080545984",
"telephone_number": "609-760-3885",
"fax_number": "856-309-5435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 E. EVERGREEN AVENUE",
"city": "SOMERDALE",
"state": "NJ",
"postal_code": "08083",
"telephone_number": "856-309-5429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUELG",
"first_name": "DIANA",
"middle_name": "NEAL",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NJ00098200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerdale, NJ
- Trevor Holak
- Holistic Behavior Collaborative LLC
- Deborah Hood, RN
- Charles James Idler, ED.D.
- Integrity Family Solutions
- Vijay K Kalola, M.D.
- Shawn Patrick Kelly, D.M.D.
- Kennedy University Hospital, Inc
- Kennedy University Hospital, Inc. (Kennedy Family Health Services)
- Kennedy University Hospitals (Kennedy Family Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.