Healthcare Provider Details

I. General information

NPI: 1053239087
Provider Name (Legal Business Name): JULIA VUCENOVIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 WEINMANNS BLVD
WAYNE NJ
07470-2855
US

IV. Provider business mailing address

116 WEINMANNS BLVD
WAYNE NJ
07470-2855
US

V. Phone/Fax

Practice location:
  • Phone: 973-320-7317
  • Fax:
Mailing address:
  • Phone: 973-320-7317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR01302200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: