MR. JOSE L DAVIS
NPI 1639975907
Nurse Practitioner - Gerontology in Clifton, NJ
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
Specialties & Licenses 2
Secondary Practice Locations 2
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.
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.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jose Davis's NPI number?
The NPI number for Jose Davis is 1639975907. It was assigned to this individual provider in the NPPES registry on February 19, 2025.
Where is Jose Davis located?
Jose Davis practices at 539 Clifton Ave, Clifton, NJ 07011. The listed phone number is (973) 246-4445.
What is Jose Davis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Jose Davis enrolled in Medicare?
Yes. Jose Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jose Davis was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Jose L Davis · NPI 1639975907
Gerontology physician in Clifton, New Jersey. Individual provider, active in the CMS NPPES registry since February 19, 2025.
## Identity
- **NPI:** 1639975907 (Entity type: Individual)
- **Enumerated:** February 19, 2025
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 582379 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 539 CLIFTON AVE, Clifton, NJ 07011-3264
- **Phone:** (973) 246-4445
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639975907) · Data from the CMS NPPES public registry.