Healthcare Provider Details

I. General information

NPI: 1841878097
Provider Name (Legal Business Name): DANIELLE NICOLE NASCONDIGLIO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE MAHON DO

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK NJ
08901-1928
US

IV. Provider business mailing address

349 ACKERMAN ST
MOUNTAINSIDE NJ
07092-1313
US

V. Phone/Fax

Practice location:
  • Phone: 732-828-3000
  • Fax:
Mailing address:
  • Phone: 908-868-2897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MB12922400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: