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General NPI Number Information
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NPI Number | 1427994763
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Entity Type | Organization
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Legal Business Name | NORTH JERSEY INTEGRATED MEDICAL PC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 12 LAWRENCE RD STE 201
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City | NEWTON
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State | NJ
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Zip | 07860-2822
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Country | US
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Telephone | 973-948-7595
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Fax |
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Provider Business Mailing Address
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Address Line | 12 LAWRENCE RD STE 201
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City | NEWTON
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State | NJ
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Zip | 07860-2822
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Country | US
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Telephone | 973-948-7595
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUSAN JEAN CUNICO
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Credential | DC
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Telephone | 973-948-7595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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