Individual provider Active NPI

Juliet Caldwell, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Hackensack, NJ
National Provider Identifier
1972690063
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
25MA10123300 Issued in NJ
Practice address
38 Summit Ave
Hackensack, NJ 07601-1263
Phone
(201) 552-4391
NPI assigned
Oct 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 227418 NY
Internal Medicine Physician 207R00000X 227418 NY
Addiction Medicine (Internal Medicine) Physician 207RA0401X 227418 NY
Addiction Medicine (Internal Medicine) Physician 207RA0401X 25MA10123300 NJ Primary

Addresses

Primary practice location

38 Summit Ave
Hackensack, NJ 07601-1263

Mailing address

38 Summit Ave
Hackensack, NJ 07601-1263
Phone (201) 552-4391

Other identifiers 1

IdentifierTypeStateIssuer
02669107MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen County Improvement Authority CurrentSince May 28, 2024 Accepting new patients
Bergen County Improvement Authority Internal Medicine CurrentSince May 28, 2024 Accepting new patients
Eoh Acquisition Group, LLC CurrentSince May 5, 2023 Accepting new patients
Eoh Acquisition Group, LLC CurrentSince May 5, 2023 Accepting new patients
HMH Carrier Behavioral Health Inc CurrentSince Jan 25, 2021 Accepting new patients
Eoh Acquisition Group, LLC Current Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Locations

252 Route 601
Belle Mead, NJ 08502
Phone (800) 379-1949

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

Interoperability endpoints

  • Direct secure messaging: juliet.caldwell@direct.hackensackmeridian.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1972690063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011263",
            "telephone_number": "201-552-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011263",
            "telephone_number": "201-552-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JULIET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "227418",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "227418",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NY",
            "license": "227418",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MA10123300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02669107",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.