Active NPIIndividual provider

Mr. Jose L Davis

Nurse Practitioner, Gerontology in Clifton, New Jersey

NPI Number1639975907
Practice location
539 Clifton Ave, Clifton, NJ 07011-3264
Fax
—
Last updated
October 28, 2025

Jose L Davis is a Nurse Practitioner, Gerontology based in Clifton, NJ. Jose L Davis practices in Clifton, NJ. The NPI Number for Jose L Davis is 1639975907 and holds a License No. 582379 (NY). The current practice location address for Jose L Davis is 539 Clifton Ave, Clifton, NJ 07011-3264 and can be reached out via phone at 973-246-4445.

Provider Profile Details

NPI Number
1639975907
Provider Name
Jose L Davis
Provider Entity Type
Individual
Gender
Male
Address
539 Clifton Ave, Clifton, NJ 07011-3264
Phone Number
973-246-4445
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
February 19, 2025
Last Update Date
October 28, 2025
Certification Date
October 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
539 Clifton Ave
Clifton, NJ 07011-3264
Zip
07011-3264
Phone Number
973-246-4445
Clifton, NJ 07011Get directions →

Provider Business Mailing Address Details

Address
224 W 35TH St Ste 500
New York, NY 10001-2538
City
New York
State
NY
Zip
10001-2538
Phone Number
718-266-0900
Fax Number
718-266-1426

License Information

License Number (1)
582379
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Gerontology · 363LG0600X · Primary
License Number (2)
AG02250044
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Primary Care · 363LP2300X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jose L Davis?

The NPI number of Mr. Jose L Davis is 1639975907. It was assigned on February 19, 2025 and is currently active in the NPPES registry.

What is the specialty of Mr. Jose L Davis?

Mr. Jose L Davis is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NY under license number 582379.

Where does Mr. Jose L Davis practice?

The practice location is 539 Clifton Ave, Clifton, NJ 07011-3264. The office can be reached at 973-246-4445 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639975907 directly on the NPPES registry website.

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