Healthcare Provider Details

I. General information

NPI: 1407774326
Provider Name (Legal Business Name): JESSICA SCHAFFER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DE MERCURIO DR STE 2
ALLENDALE NJ
07401-1737
US

IV. Provider business mailing address

278 MIDLAND AVE
POMPTON LAKES NJ
07442-2015
US

V. Phone/Fax

Practice location:
  • Phone: 551-233-2310
  • Fax:
Mailing address:
  • Phone: 551-233-2310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL07475000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: