Healthcare Provider Details

I. General information

NPI: 1932902160
Provider Name (Legal Business Name): GABRIELA JUNIEWICZ PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 OLD HOOK RD
WESTWOOD NJ
07675-3123
US

IV. Provider business mailing address

92 INDIAN TRL
NORTH HALEDON NJ
07508-3036
US

V. Phone/Fax

Practice location:
  • Phone: 201-417-4271
  • Fax: 201-383-1278
Mailing address:
  • Phone: 201-417-4271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00913900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: