Healthcare Provider Details

I. General information

NPI: 1487526463
Provider Name (Legal Business Name): DEENA DUBROW CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 ALLEN RD
BASKING RIDGE NJ
07920-2976
US

IV. Provider business mailing address

140 ALLEN RD
BASKING RIDGE NJ
07920-2976
US

V. Phone/Fax

Practice location:
  • Phone: 866-762-3140
  • Fax:
Mailing address:
  • Phone: 866-762-3140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC002021
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number25MJ00106300
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number0139000854
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number883
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGCL.GT.70054222
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number14266882-3601
License Number StateUT
# 7
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC001089
License Number StatePA
# 8
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberCG-0010608
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: