Healthcare Provider Details

I. General information

NPI: 1881505998
Provider Name (Legal Business Name): ISABELLY CANDIDO DE JONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MARKET ST
SADDLE BROOK NJ
07663-5318
US

IV. Provider business mailing address

2 COLONIAL DR
MIDLAND PARK NJ
07432-1908
US

V. Phone/Fax

Practice location:
  • Phone: 201-368-6000
  • Fax:
Mailing address:
  • Phone: 551-269-3211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: