Denege Dajuste
Individual provider Active NPI Driver · Hillside, NJ
NPI 1114837564 · NPPES record last updated Sep 9, 2026
Key facts
- NPI
- 1114837564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- D02091620009711 (NJ)
- Practice address
- 192 Baltimore Ave
Hillside, NJ 07205-2223 - Phone
- (908) 422-7904
- NPI assigned
- Sep 9, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | D02091620009711 | NJ | Yes |
Addresses
Primary practice location
192 Baltimore Ave
Hillside, NJ 07205-2223
Mailing address
192 Baltimore Ave
Hillside, NJ 07205-2223
Phone (908) 422-7904
Other providers in Hillside, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.