Julita Wilson-Reid, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00544200 Issued in NJ

Practice address

546 Sweetland Ave
Hillside, NJ 07205-1733

Phone

(908) 258-8676

NPI assigned

Nov 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Essex Renal & Medical Group,LLC

  • Nephrology Physician
  • South Orange, NJ
  • NPI 1972545648
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1336512573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 SWEETLAND AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051733",
            "telephone_number": "908-258-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 SWEETLAND AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051733",
            "telephone_number": "908-258-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-REID",
        "first_name": "JULITA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00544200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Vidal-Burke, MD
• Sandra Vincent
• Walgreen Co (Walgreens #16260)
• Maisha Lo-Rain Walters
• Jessica Charise Webb
• Fay Corrine Wiltshire
• Zakary Ilya Yermolenko, DMD

• Nurse Practitioner in Hillside, NJ
• Providers in Hillside, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.