Provider Demographics
NPI:1659256824
Name:OLIVER, DONALD JR
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:OLIVER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HAMILTON PLZ STE 1221
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07505-2116
Mailing Address - Country:US
Mailing Address - Phone:973-452-1902
Mailing Address - Fax:
Practice Address - Street 1:100 HAMILTON PLZ STE 1221
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07505-2116
Practice Address - Country:US
Practice Address - Phone:973-452-1902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NJ44SL068648001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical