Healthcare Provider Details

I. General information

NPI: 1093668980
Provider Name (Legal Business Name): GEORGE PINKERTON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 HERBERT AVE APT 2
CLOSTER NJ
07624-1341
US

IV. Provider business mailing address

241 HERBERT AVE APT 2
CLOSTER NJ
07624-1341
US

V. Phone/Fax

Practice location:
  • Phone: 201-310-3601
  • Fax:
Mailing address:
  • Phone: 201-310-3601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06554700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: