Healthcare Provider Details

I. General information

NPI: 1427994763
Provider Name (Legal Business Name): NORTH JERSEY INTEGRATED MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 LAWRENCE RD STE 201
NEWTON NJ
07860-2822
US

IV. Provider business mailing address

12 LAWRENCE RD STE 201
NEWTON NJ
07860-2822
US

V. Phone/Fax

Practice location:
  • Phone: 973-948-7595
  • Fax:
Mailing address:
  • Phone: 973-948-7595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. SUSAN JEAN CUNICO
Title or Position: PRESIDENT
Credential: DC
Phone: 973-948-7595