Healthcare Provider Details

I. General information

NPI: 1730096371
Provider Name (Legal Business Name): JULIANA KALMOWITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1593 NJ-88
BRICK TOWNSHIP NJ
08724
US

IV. Provider business mailing address

21 FOREST DR
JACKSON NJ
08527-1503
US

V. Phone/Fax

Practice location:
  • Phone: 732-920-3434
  • Fax:
Mailing address:
  • Phone: 732-966-6950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07534100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: