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
Mailing address224 W 35th St Ste 500, New York, NY 10001-2538

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

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