Provider Demographics
NPI:1881950269
Name:GELUS-JULES, GERALDA
Entity type:Individual
Prefix:
First Name:GERALDA
Middle Name:
Last Name:GELUS-JULES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-1107
Mailing Address - Country:US
Mailing Address - Phone:973-640-6332
Mailing Address - Fax:
Practice Address - Street 1:61 BEECHWOOD LN
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-2350
Practice Address - Country:US
Practice Address - Phone:973-640-6332
Practice Address - Fax:908-322-1696
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF310051-01363LA2200X
NJ26NJ01145500363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health