MR. JOSE L DAVIS – Gerontology Nurse Practitioner, NPI 1639975907

MR. JOSE L DAVIS is a healthcare provider. based in Belleville, New Jersey. specializing in NURSE PRACTITIONER. They hold a License No. 582379 (NY). The NPI Number for MR. JOSE L DAVIS is 1639975907

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
MR. JOSE L DAVIS
NPI
1639975907
Phone
(973) 450-2000
Address
1 Clara Maass Dr
Enumeration Date
19 February 2025
Last Update Date
28 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7182260900
Graduation Year
2025 (1 year ago)
PAC ID
4082114947
Group Practice PAC ID
5193966059
Professional Enrollment ID
I20250825001938
Address ID
NY112145272BR8718XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:1State licenses:2Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MR. JOSE L DAVIS

  • 1 Clara Maass Dr

    Belleville, NJ 071093550

    Phone: (973) 450-2000

    Type: Location

  • 120 Wall St Ste 175

    New York, NY 100053904

    Phone: (718) 266-0900

    Fax: (718) 266-1426

    Type: Location

  • 224 W 35TH ST STE 500

    NEW YORK, NY 100012538

    Phone: (718) 266-0900

    Fax: (718) 266-1426

    Type: Mailing

  • 539 CLIFTON AVE

    CLIFTON, NJ 070113264

    Phone: (973) 246-4445

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250825001938INurse PractitionerNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193966059View full group profile
NameSpecialtyState
Internal MedicineNY
Cardiovascular Disease (Cardiology)NY
Orthopedic SurgeryNY
Internal MedicineNY
Cardiovascular Disease (Cardiology), Interventional CardiologyNY
Diagnostic RadiologyCO
Cardiovascular Disease (Cardiology)NY
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)NY
Interventional Cardiology, Cardiovascular Disease (Cardiology)NY
Interventional RadiologyNJ

Reviews

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Frequently asked questions

What identifier follows MR. JOSE L DAVIS across health systems?
The NPI 1639975907 uniquely identifies MR. JOSE L DAVIS in U.S. healthcare data.
Does the public listing show MR. JOSE L DAVIS as active?
MR. JOSE L DAVIS's NPI record reflects an active status in NPPES.
What services align with MR. JOSE L DAVIS's listing?
MR. JOSE L DAVIS's public classification highlights Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MR. JOSE L DAVIS in Belleville, New Jersey?
For routing, start with Belleville, New Jersey for MR. JOSE L DAVIS, then verify phone and hours locally.
Why is information missing for MR. JOSE L DAVIS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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