Healthcare Provider Details

I. General information

NPI: 1881950269
Provider Name (Legal Business Name): GERALDA GELUS-JULES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2012
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BROADACRES DR
BLOOMFIELD NJ
07003-3153
US

IV. Provider business mailing address

PO BOX 35741
BELFAST ME
04915-0635
US

V. Phone/Fax

Practice location:
  • Phone: 862-314-7030
  • Fax: 732-647-1133
Mailing address:
  • Phone: 862-314-7030
  • Fax: 732-647-1133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF310051-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number26NJ01145500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: