Individual provider Active NPI

Julie M Fuson, RDH

  • Dental Hygienist
  • Somerville, NJ
National Provider Identifier
1710617832
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
22HI00905000 Issued in NJ
Practice address
3 Fieldstone Dr
Somerville, NJ 08876-1758
Phone
(732) 597-4181
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 22HI00905000 NJ Primary

Addresses

Primary practice location

3 Fieldstone Dr
Somerville, NJ 08876-1758

Mailing address

3 Fieldstone Dr
Somerville, NJ 08876-1758
Phone (732) 597-4181

Other practice location 1

20 Vanderburg Rd
Marlboro, NJ 07746-1440
Phone (732) 294-0045

Other identifiers 1

IdentifierTypeStateIssuer
22HI00905000OtherNJSTATE DENTAL HYGIENE LICENSE

Other names 1

  • Miss Julie M Sakala Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jsakala@comcast.net Direct
CONNECT URL jabul@aol.com

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
22HI00905000NJMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1710617832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FIELDSTONE DR",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761758",
            "telephone_number": "732-597-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FIELDSTONE DR",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761758",
            "telephone_number": "732-597-4181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Vanderburg Rd",
            "address_purpose": "LOCATION",
            "city": "Marlboro",
            "state": "NJ",
            "postal_code": "077461440",
            "country_code": "US",
            "telephone_number": "732-294-0045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUSON",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NJ",
            "license": "22HI00905000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL HYGIENE LICENSE",
            "identifier": "22HI00905000",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsakala@comcast.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3 Fieldstone Dr",
            "city": "Somerville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088761758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jabul@aol.com",
            "affiliation": "N",
            "address_1": "3 Fieldstone Dr",
            "city": "Somerville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088761758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SAKALA",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "CDA, RDA, RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.