Julie Black, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NJ00858600 Issued in NJ

Practice address

8008 Route 130 Ste 305
Delran, NJ 08075-1869

Phone

(609) 788-3195

NPI assigned

Aug 21, 2018

Sex

Female

Sole proprietor

Yes

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.

• Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.

  • Ambulatory Family Planning Facility
  • Morristown, NJ
  • NPI 1053420992
  NPD (past)
• Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.

  • Ambulatory Family Planning Facility
  • Shrewsbury, NJ
  • NPI 1770635260
  NPD (past)
• Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.

  • Ambulatory Family Planning Facility
  • Delran, NJ
  • NPI 1821582982
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: julie.black.p11@direct.ppncsnj.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2020.

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1982184727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 ROUTE 130 BLDG B",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 ROUTE 130 STE 305",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751869",
            "telephone_number": "609-788-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JULIE",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00858600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bancroft, a New Jersey Nonprofit Corporation
• Matthew Peter Basara, MD
• Pascale Bastien, M.D.
• Sara Battaglia, LSW
• Renee A Berna, MD
• Dylan Marie Bobek, OTR/L
• Melody Jan Boudwin, P.A.
• Brighter Dental Care (Delran)
• C & S LLC
• Lauren Cackowski

• All providers in Delran, NJ
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.