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

Branden Staller

Individual provider Family Medicine Physician · NPI 1760921043

Branden Staller is a Family Medicine Physician in Highland Park, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2017.

Licensed in
NJ, NY
In the registry since
2017
Specialties on file
2

Practice location Address checks out

23 S 1st Ave
Highland Park, NJ 08904-2113
Phone: (732) 874-6063
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA10916500 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence P05157 (NY)

Record details

NPI number1760921043
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 19, 2017
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023
Mailing address23 S 1st Ave, Highland Park, NJ 08904-2113

Other providers in Highland Park