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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jose Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11214
- Reassigned Medicare billing, New York enrollment
- 19 clinicians in this Medicare group
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- 738 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organizations bill Medicare for Jose Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Davis reassigns Medicare benefits to 2 organizations: Sorin Medical PC (Brooklyn, NY) and Jamaica Hospital (Jamaica, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 12 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
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sorin Medical PC (NPI 1942543053, Brooklyn, NY); Jamaica Hospital (NPI 1477505220, Jamaica, NY) · CMS Revalidation Reassignment List, October 2026 release
- **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.