Jose L. Davis
NPI 1639975907ActiveIndividual· Nurse Practitioner, Gerontology· Clifton, NJ
Nurse Practitioner, Gerontology with Sorin Medical PC, practicing in Clifton, New Jersey. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1639975907 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 19, 2025 |
| Last updated in NPPES | Oct 28, 2025 |
| Certified by provider | Oct 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 582379 | NY |
| Nurse Practitioner, Primary Care | 363LP2300X | AG02250044 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Sorin Medical PCBrooklyn, NY · 18 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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