Individual provider Active NPI

Darren Vincent Gioffre, OT

  • Occupational Therapist
  • Northvale, NJ
National Provider Identifier
1386870681
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00226300 Issued in NJ
Practice address
636 Wildwood Rd W
Northvale, NJ 07647-1119
Phone
(201) 784-1672
NPI assigned
Jun 2, 2009
Last updated
Apr 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00226300 NJ Primary

Addresses

Primary practice location

636 Wildwood Rd W
Northvale, NJ 07647-1119

Mailing address

636 Wildwood Rd W
Northvale, NJ 07647-1119
Phone (201) 421-7050

Other identifiers 1

IdentifierTypeStateIssuer
46TR00226300OtherNJNEW JERSEY DIVISION OF CONSUMER AFFAIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000441 NJ Practitioner - Occupational Therapist in Private Practice 7214198944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00226300NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A & a Staffing, LLC Past Accepting new patients

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": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1386870681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 WILDWOOD RD W",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076471119",
            "telephone_number": "201-421-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 WILDWOOD RD W",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076471119",
            "telephone_number": "201-784-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOFFRE",
        "first_name": "DARREN",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00226300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY DIVISION OF CONSUMER AFFAIRS",
            "identifier": "46TR00226300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.