Healthcare Provider Details

I. General information

NPI: 1366309320
Provider Name (Legal Business Name): JUDITH APPIAH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 PARKER RD
ELIZABETH NJ
07208-2148
US

IV. Provider business mailing address

400 NORTH AVE E
WESTFIELD NJ
07090-1496
US

V. Phone/Fax

Practice location:
  • Phone: 908-965-3868
  • Fax:
Mailing address:
  • Phone: 908-324-2221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA076165
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: