Healthcare Provider Details

I. General information

NPI: 1396627600
Provider Name (Legal Business Name): JULIANNA SUE ZOMPER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 SOUTH AVE E
WESTFIELD NJ
07090-1788
US

IV. Provider business mailing address

354 SOUTH AVE E
WESTFIELD NJ
07090-1788
US

V. Phone/Fax

Practice location:
  • Phone: 908-923-3483
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number26NR22841900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: