Healthcare Provider Details

I. General information

NPI: 1619851458
Provider Name (Legal Business Name): JULIA ROSE CUCCI RN MSN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 QUAKERBRIDGE RD STE 800
TRENTON NJ
08619-1256
US

IV. Provider business mailing address

3535 QUAKERBRIDGE RD STE 800
TRENTON NJ
08619-1256
US

V. Phone/Fax

Practice location:
  • Phone: 609-584-0888
  • Fax:
Mailing address:
  • Phone: 609-584-0888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15368200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: