Individual provider Active NPI

Judith A Wilson

  • Adult Health Nurse Practitioner
  • Millburn, NJ
National Provider Identifier
1780380329
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ01437000 Issued in NJ
Practice address
33 Bleeker St
Millburn, NJ 07041-1459
Phone
(908) 330-0810
Fax
(862) 206-8259
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NJ01437000 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ01437000 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ01437000 NJ Primary

Addresses

Primary practice location

33 Bleeker St
Millburn, NJ 07041-1459

Mailing address

1211 Country Mill Dr
East Windsor, NJ 08512-2203
Phone (312) 733-9730

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230623000136 NJ Practitioner - Nurse Practitioner 5092173062 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01437000NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Medical Services of New Jersey LLC CurrentSince Feb 26, 2025 Accepting new patients
Harmony Medical Services of New Jersey LLC CurrentSince Feb 26, 2025 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Apr 12, 2023 Accepting new patients

Locations

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1780380329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 COUNTRY MILL DR",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085122203",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BLEEKER ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411459",
            "telephone_number": "908-330-0810",
            "fax_number": "862-206-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JUDITH",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NJ01437000",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01437000",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01437000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.