Active NPI
Juliet Caldwell, MD
- Addiction Medicine (Internal Medicine) Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 25MA10123300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02669107 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bergen County Improvement Authority | Current | Accepting new patients | |
| Bergen County Improvement Authority | Internal Medicine | Current | Accepting new patients |
| Eoh Acquisition Group, LLC | Current | Accepting new patients | |
| Eoh Acquisition Group, LLC | Current | Accepting new patients | |
| HMH Carrier Behavioral Health Inc | Current | 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
- 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.
-
dba Bergen New Bridge Medical Center Medical Provider Group
- Internal Medicine Physician
- Paramus, NJ
- NPI 1891836441
-
dba Bergen New Bridge Medical Center
- Psychiatric Hospital Unit
- Paramus, NJ
- NPI 1952456295
-
dba CareWell Health Medical Center
- General Acute Care Hospital
- East Orange, NJ
- NPI 1013386143
-
dba East Orange General Hospital
- General Practice Physician
- East Orange, NJ
- NPI 1578922258
-
dba East Orange General Hospital
- Primary Care Clinic/Center
- East Orange, NJ
- NPI 1578932604
-
dba Hackensack Meridian Health Carrier Clinic
- Psychiatric Hospital
- Belle Mead, NJ
- NPI 1225039399
-
- Medical Toxicology (Emergency Medicine) Physician
- New York, NY
- NPI 1710491568
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.