Healthcare Provider Details

I. General information

NPI: 1073674453
Provider Name (Legal Business Name): DAUGHTERS OF ISRAEL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 02/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 PLEASANT VALLEY WAY
WEST ORANGE NJ
07052
US

IV. Provider business mailing address

1155 PLEASANT VALLEY WAY
WEST ORANGE NJ
07052
US

V. Phone/Fax

Practice location:
  • Phone: 973-535-4234
  • Fax: 973-467-0508
Mailing address:
  • Phone: 732-557-7160
  • Fax: 732-557-7109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSHUA SCHOR
Title or Position: DOCTOR
Credential: MD
Phone: 732-557-7160