Individual provider Active NPI

Gregory Caiafa

  • Clinical Social Worker
  • Tinton Falls, NJ
National Provider Identifier
1043925894
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06355700 Issued in NJ
Practice address
6 Penn CT
Tinton Falls, NJ 07724-9767
Phone
(347) 578-1910
NPI assigned
Jan 17, 2023
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 44SL06763200 NJ
Clinical Social Worker 1041C0700X 44SC06355700 NJ Primary

Addresses

Primary practice location

6 Penn CT
Tinton Falls, NJ 07724-9767

Mailing address

6 Penn CT
Tinton Falls, NJ 07724-9767

Other practice location 1

10 Allen St Ste 4-B
Toms River, NJ 08753-7652
Phone (732) 795-5217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905004053 NJ Practitioner - Clinical Social Worker 9032659917 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06763200NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Aug 21, 2024 Accepting new patients
Lifebulb LLC PastSince Oct 16, 2022 Accepting new patients

Locations

10 Allen St
Ste 4B
Toms River, NJ 08753
Phone (732) 517-3761

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1043925894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PENN CT",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077249767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PENN CT",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077249767",
            "telephone_number": "347-578-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Allen St Ste 4-B",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087537652",
            "country_code": "US",
            "telephone_number": "732-795-5217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAIAFA",
        "first_name": "GREGORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "44SL06763200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06355700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

Verify at the official NPI Registry.