Healthcare Provider Details

I. General information

NPI: 1366673337
Provider Name (Legal Business Name): DANIELLE M. ROGOFF APN,C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2009
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 US HIGHWAY 46 STE 200
HACKETTSTOWN NJ
07840-2695
US

IV. Provider business mailing address

57 US HIGHWAY 46 STE 200
HACKETTSTOWN NJ
07840-2695
US

V. Phone/Fax

Practice location:
  • Phone: 908-813-8877
  • Fax:
Mailing address:
  • Phone: 908-813-8877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NJ00217500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: