DR. CHARLES STEPHEN DAVIS MD NPI 1689641490

NPI Information

  • NPI: 1689641490
  • Provider Name: DR. CHARLES STEPHEN DAVIS, MD
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • Address: 321 SUMMIT AVE
    HACKENSACK, NJ
    ZIP 07601
  • Phone: (201) 343-2434

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NPI Details

DR. Charles Stephen Davis, MD is a geriatric medicine internal medicine in Hackensack, NJ. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Charles Stephen Davis, MD NPI is 1689641490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

321 SUMMIT AVE
HACKENSACK, NJ
ZIP 07601-429
Phone: (201) 343-2434
Fax: (201) 343-3917

The enumeration date for this NPI number is 3/1/2006 and was last updated on 8/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric MedicineMA49376NEW JERSEYNo
2207RG0300XInternal MedicineGeriatric Medicine149827NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D66430MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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