Provider Demographics
NPI:1558783118
Name:NOVEY, JESSICA L (PT)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:NOVEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:JULEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:21 KILMER DR
Mailing Address - Street 2:BUILDING 2, SUITE D
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1571
Mailing Address - Country:US
Mailing Address - Phone:732-851-7602
Mailing Address - Fax:732-851-7610
Practice Address - Street 1:21 KILMER DR
Practice Address - Street 2:BUILDING 2, SUITE D
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1571
Practice Address - Country:US
Practice Address - Phone:732-851-7602
Practice Address - Fax:732-851-7610
Is Sole Proprietor?:No
Enumeration Date:2014-01-15
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01447800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ336125YEPYMedicare PIN