Healthcare Provider Details

I. General information

NPI: 1609443639
Provider Name (Legal Business Name): DANIELLE JEAN ROSE POPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2021
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 ENGLE STREET
ENGLEWOOD NJ
07631
US

IV. Provider business mailing address

350 ENGLE STREET
ENGLEWOOD NJ
07631
US

V. Phone/Fax

Practice location:
  • Phone: 201-894-3664
  • Fax:
Mailing address:
  • Phone: 201-894-3664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA12351000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD600004125
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: