Healthcare Provider Details

I. General information

NPI: 1699877084
Provider Name (Legal Business Name): DANA CERNEA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

266 HARRISTOWN RD STE 305
GLEN ROCK NJ
07452-3321
US

IV. Provider business mailing address

PO BOX 1778
ENGLEWOOD CLIFFS NJ
07632-1178
US

V. Phone/Fax

Practice location:
  • Phone: 201-475-9421
  • Fax: 201-475-1555
Mailing address:
  • Phone: 201-475-9421
  • Fax: 201-475-1555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA05649600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: