Healthcare Provider Details

I. General information

NPI: 1801414172
Provider Name (Legal Business Name): DANIELLE ISENBERG DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2020
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 JORDAN RD
ROCKAWAY NJ
07866-2212
US

IV. Provider business mailing address

99 JORDAN RD
ROCKAWAY NJ
07866-2212
US

V. Phone/Fax

Practice location:
  • Phone: 973-270-7052
  • Fax:
Mailing address:
  • Phone: 973-270-7052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00773100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: