Healthcare Provider Details

I. General information

NPI: 1639018070
Provider Name (Legal Business Name): JULIANA CASQUEIRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WHIPPANY RD
WHIPPANY NJ
07981-1407
US

IV. Provider business mailing address

1100 PARSIPPANY BLVD APT 87
PARSIPPANY NJ
07054-1827
US

V. Phone/Fax

Practice location:
  • Phone: 973-599-7500
  • Fax:
Mailing address:
  • Phone: 973-902-7702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number40QB00266700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: