Damian David Daffara, COO

Primary specialty

Registered Record AdministratorTaxonomy code 246YR1600X

Practice address

355 Bloomfield Ave
Caldwell, NJ 07006-5118

Phone

(973) 228-0072

Fax

(973) 228-2311

NPI assigned

Nov 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: damian@lightportpt.com

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

• Greco Physical Therapy and Wellness Inc

  • Physical Therapist
  • Caldwell, NJ
  • NPI 1457249054
  NPD
• Lightport Physical Therapy

  • Physical Therapy Clinic/Center
  • Caldwell, NJ
  • NPI 1730541335
  NPD

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574467200000",
    "number": "1245876325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 NICHOLAS AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522932",
            "telephone_number": "917-783-4554",
            "fax_number": "973-325-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BLOOMFIELD AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065118",
            "telephone_number": "973-228-0072",
            "fax_number": "973-228-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFFARA",
        "first_name": "DAMIAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "COO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-23",
        "last_updated": "2019-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246YR1600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information, Registered Record Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DAMIAN@LIGHTPORTPT.COM",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Records Specialist",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "355 Bloomfield Ave",
            "city": "Caldwell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070065118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steve Vincent Colacurcio Jr., D.C.
• Natashia Collins, LPC, ATR-BC, ACS,
• Complete Woman Midwifery & Complete Medical Imaging (Manhattan Home Birth)
• Lawrence Crandon
• Daniella Marie D'Alessio, DC
• Daniel Atkins Consulting LLC
• Darius Orthodontics of Caldwell LLC
• John De Hoyos, DPT
• Ruth M Debar, BCBA-D, LBA
• Lauren F Defilippo Taibi, LPC

• Health Information Specialist/Technologist in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Health Information Specialist/Technologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.