MEDICARE: DR. JULIAN SANSONE DPM

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	25MD00282700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841229119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIAN SANSONE DPM

Provider Business Mailing Address
First Line	:	4 PEACOCK LN
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-5350
Country	:	US
Telephone Number	:	732-771-6881
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 KENT RD
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-2452
Country	:	US
Telephone Number	:	732-833-2800
Fax Number	:	732-833-4808

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	12/15/2025

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