Healthcare Provider Details

I. General information

NPI: 1134957806
Provider Name (Legal Business Name): DANIEL A RECTOR RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

887 KINDERKAMACK RD
RIVER EDGE NJ
07661-2307
US

IV. Provider business mailing address

36 JEFFERSON AVE
EMERSON NJ
07630-1230
US

V. Phone/Fax

Practice location:
  • Phone: 201-464-0860
  • Fax:
Mailing address:
  • Phone: 201-290-8762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number26NR23210300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15627200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: