Provider Demographics
NPI:1952370736
Name:SCHEHR-KIMBLE, DANIELLE J (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:J
Last Name:SCHEHR-KIMBLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:J
Other - Last Name:SCHEHR-KIMBLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:
Practice Address - Street 1:225 MILLBURN AVE STE 303
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1712
Practice Address - Country:US
Practice Address - Phone:973-912-7273
Practice Address - Fax:973-912-7275
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08544100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
11567360OtherCAQH ID#
NJ1942506076OtherGROUP NPI - MED CRT OF NO. NJ
NY1952370736OtherNPI NUMBER
NJ25MB08544100OtherNJ MEDICAL LICENSE
NJ25MB08544100OtherNJ MEDICAL LICENSE
NJ25MB08544100OtherNJ MEDICAL LICENSE
NY2822V05883Medicare PIN
NJBS8836415OtherDEA