Individual provider Active NPI

Diana Neal Juelg, APN

  • Pediatric Nurse Practitioner
  • Somerdale, NJ
National Provider Identifier
1336344548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00098200 Issued in NJ
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26NJ00098200NJMDPediatric 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

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.

Verify at the official NPI Registry.