Healthcare Provider Details

I. General information

NPI: 1275464448
Provider Name (Legal Business Name): PAIGE INGLESE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 3RD AVE FL 2
HAWTHORNE NJ
07506-2304
US

IV. Provider business mailing address

149 3RD AVE FL 2
HAWTHORNE NJ
07506-2304
US

V. Phone/Fax

Practice location:
  • Phone: 973-590-0511
  • Fax:
Mailing address:
  • Phone: 973-590-0511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07323400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: