Basic Information
Provider Information
NPI: 1033362405
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JUHASZ
FirstName: KRISTIN
MiddleName: ANN
NamePrefix: MISS
NameSuffix:  
Credential: BS, MS, PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7221 HEATHER DR
Address2:  
City: WEST WINDSOR
State: NJ
PostalCode: 085505355
CountryCode: US
TelephoneNumber: 9143933065
FaxNumber:  
Practice Location
Address1: 200 SOMERSET ST
Address2:  
City: NEW BRUNSWICK
State: NJ
PostalCode: 089011942
CountryCode: US
TelephoneNumber: 7322587000
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/29/2008
LastUpdateDate: 06/26/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X40QA01601000NJY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X020288-1NYN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


Home