Jose L Davis

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

582379 Issued in NY

Practice address

539 Clifton Ave
Clifton, NJ 07011-3264

Phone

(973) 246-4445

NPI assigned

Feb 19, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sorin Medical PCGroup PAC ID 5193966059, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jose.davis.1@8181.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sorin Medical PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1942543053
  Medicare reassignment Care Compare group NPD
• Jamaica Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1477505220
  Medicare reassignment NPD
• Hiba & Abdo LLC

  • Cardiovascular Disease Physician
  • Clifton, NJ
  • NPI 1336878255
  NPD
• Jamaica Hospital

  • Skilled Nursing Facility
  • Jamaica, NY
  • NPI 1750516795
  NPD
• Rodolfo a Munera

  • Infectious Disease Physician
  • Clifton, NJ
  • NPI 1477853844
  NPD (past)
• Inwood Diagnostic and Treatment Center Inc

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1457598096
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1639975907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W 35TH ST STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012538",
            "telephone_number": "718-266-0900",
            "fax_number": "718-266-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113264",
            "telephone_number": "973-246-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Clara Maass Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "NJ",
            "postal_code": "071093550",
            "country_code": "US",
            "telephone_number": "973-450-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Wall St Ste 175",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100053904",
            "country_code": "US",
            "telephone_number": "718-266-0900",
            "fax_number": "718-266-1426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOSE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "582379",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "AG02250044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Moore DC PC
• David R. Moore, DC PC
• Althea D David, PSYD
• Roselle Monica Pascual David, MSN, RN
• Tattiana Davis-Achonye, LMFT
• Matthew Davis
• DDD Neurology & Electrodiagnostics PLLC
• Lisa De Candio
• Melanie Sharen De Dios
• De la Cerna PT,PC

• Gerontology Nurse Practitioner in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.