Healthcare Provider Details

I. General information

NPI: 1790019206
Provider Name (Legal Business Name): DC MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2009
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
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 NumberMA056496
License Number StateNJ

VIII. Authorized Official

Name: DANA CERNEA
Title or Position: OWNER
Credential: MD
Phone: 201-475-9421