MEDICARE: ONEWELL OF NEW JERSEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	164W00000X	Licensed Practical Nurse
2	253Z00000X	In Home Supportive Care Agency
3	225X00000X	Occupational Therapist
4	103K00000X	Behavior Analyst
5	163W00000X	Registered Nurse
6	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1114690997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONEWELL OF NEW JERSEY

Provider Business Mailing Address
First Line	:	100 CANAL POINTE BLVD STE 209
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-7169
Country	:	US
Telephone Number	:	717-808-6179
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CANAL POINTE BLVD STE 209
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-7169
Country	:	US
Telephone Number	:	717-808-6179
Fax Number	:

Authorized Official
Title or Position	:	VP OF REGULATORY AFFAIR AND CONTR.
Name	:	TIFFANY JUDGE
Credential	:
Telephone Number	:	717-598-2871

Provider Enumeration Date	:	07/28/2021
Last Update Date	:	02/11/2026

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Directions to “ONEWELL OF NEW JERSEY ” Practice Location

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