Healthcare Provider Details

I. General information

NPI: 1649194499
Provider Name (Legal Business Name): DANIELLE M COFFEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E LINCOLN ST APT 24
VERONA NJ
07044-1517
US

IV. Provider business mailing address

1 E LINCOLN ST APT 24
VERONA NJ
07044-1517
US

V. Phone/Fax

Practice location:
  • Phone: 973-572-5220
  • Fax:
Mailing address:
  • Phone: 973-572-5220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15593600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: