Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jose L Davis

Individual provider Gerontology Nurse Practitioner · NPI 1639975907

Mr. Jose L Davis is a Nurse Practitioner in Clifton, New Jersey. Qualified in 2025, 1 year ago. Practices with Sorin Medical PC, a 17-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
1
Licensed in
NJ, NY
In the registry since
2025
Specialties on file
2

Practice location Address checks out

539 Clifton Ave
Clifton, NJ 07011-3264
Phone: (973) 246-4445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Clara Maass Dr, Belleville, NJ 07109-3550 — (973) 450-2000
  • 120 Wall St Ste 175, New York, NY 10005-3904 — (718) 266-0900

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 582379 (NY)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence AG02250044 (NJ)

Record details

NPI number1639975907
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 19, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sorin Medical Pc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clifton