Provider Demographics
NPI:1366673337
Name:ROGOFF, DANIELLE M (APN,C)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:M
Last Name:ROGOFF
Suffix:
Gender:F
Credentials:APN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WALTER E FORAN BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4668
Mailing Address - Country:US
Mailing Address - Phone:908-284-5295
Mailing Address - Fax:908-806-3478
Practice Address - Street 1:4 WALTER E FORAN BLVD STE 302
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4668
Practice Address - Country:US
Practice Address - Phone:908-284-5295
Practice Address - Fax:908-806-3478
Is Sole Proprietor?:No
Enumeration Date:2009-08-07
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00217500363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health