MR. JOSE L DAVIS
NPI 1639975907
Nurse Practitioner - Gerontology in Clifton, NJ

Active since February 19, 2025PECOS EnrolledAccepts Medicare Assignment
539 CLIFTON AVE, CLIFTON, NJ 07011(973) 246-4445 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 3, 2025, Feb 19, 2025 (2 updates tracked since 2025).

About Mr. Jose L Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOSE L DAVIS (NPI 1639975907) is an individual gerontology provider in Clifton, New Jersey, licensed in New York (582379) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639975907
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMR. JOSE L DAVIS
Location Address539 CLIFTON AVEClifton, NJ 07011-3264
Mailing Address224 W 35th St Ste 500New York, NY 10001-2538 · (718) 266-0900 · Fax (718) 266-1426
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 19, 2025
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
NPI 1639975907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in NY · 582379
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AG02250044 (NJ)
539 CLIFTON AVE, Clifton, NJ 07011

Secondary Practice Locations 2

Location 11 Clara Maass DrBelleville, NJ 07109-3550 · Phone (973) 450-2000
Location 2120 Wall St Ste 175New York, NY 10005-3904 · Phone (718) 266-0900 · Fax (718) 266-1426

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Jose L Davis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082114947
PECOS Enrollment IDI20250825001938
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
539 CLIFTON AVE
CLIFTON, NJ 07011
Internal Medicine (Cardiovascular Disease)
539 CLIFTON AVE
CLIFTON, NJ 07011
Internal Medicine (Cardiovascular Disease)
539 CLIFTON AVE
CLIFTON, NJ 07011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639975907, enumerated as an "individual" on February 19, 2025.

The provider is located at 539 CLIFTON AVE CLIFTON, NJ 07011 and the phone number is (973) 246-4445.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.