Healthcare Provider Details

I. General information

NPI: 1316635402
Provider Name (Legal Business Name): JULIANNE VESCE DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MORRIS AVE STE 203
SPRINGFIELD NJ
07081-1020
US

IV. Provider business mailing address

500 MORRIS AVE STE 203
SPRINGFIELD NJ
07081-1020
US

V. Phone/Fax

Practice location:
  • Phone: 973-376-8210
  • Fax:
Mailing address:
  • Phone: 973-376-8210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00393500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number25MD00393500
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License Number25MD00393500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: