Healthcare Provider Details
I. General information
NPI: 1275896516
Provider Name (Legal Business Name): DHP OF NEW JERSEY PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/21/2012
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
65 JAMES ST
EDISON NJ
08820-3947
US
IV. Provider business mailing address
265 BROOKVIEW CENTRE WAY STE 203
KNOXVILLE TN
37919-4053
US
V. Phone/Fax
- Phone: 732-321-7070
- Fax:
- Phone: 865-693-1000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
ISTVAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 865-693-1000