Healthcare Provider Details

I. General information

NPI: 1093625436
Provider Name (Legal Business Name): ROCK OF GLORY MINISTRIES A NJ NONPROFIT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

192 BALTIMORE AVE
HILLSIDE NJ
07205-2223
US

IV. Provider business mailing address

192 BALTIMORE AVE
HILLSIDE NJ
07205-2223
US

V. Phone/Fax

Practice location:
  • Phone: 908-422-7904
  • Fax:
Mailing address:
  • Phone: 908-422-7039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: DENEGE DAJUSTE
Title or Position: PRESIDENT
Credential:
Phone: 908-422-7904