Healthcare Provider Details

I. General information

NPI: 1851289995
Provider Name (Legal Business Name): DANIELLA GADALETA MSN, RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 HALSEY ST
NEWARK NJ
07102-3017
US

IV. Provider business mailing address

124 HALSEY ST
NEWARK NJ
07102-3017
US

V. Phone/Fax

Practice location:
  • Phone: 973-504-6430
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number26NR27010100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN763146
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: