Organization Active NPI

Jeffrey C Danco PSYD

  • Clinical Psychologist
  • Bridgewater, NJ
National Provider Identifier
1508674250
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JEFFREY C DANCO PSYD
Practice address
505 State Route 28
Bridgewater, NJ 08807-2493
Phone
(908) 642-8188
NPI assigned
Dec 27, 2024
Last updated
Dec 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Dr. Jeffrey Charles Danco, PSYDNPI 1477655199
Title
Psychologist
Phone
(908) 642-8188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

505 State Route 28
Bridgewater, NJ 08807-2493

Mailing address

37 Shannon Rd
Bridgewater, NJ 08807-2649
Phone (908) 642-8188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241230002463 NJ Part B Supplier - Clinic/Group Practice 7416484696 Receives reassigned benefits from 1 practitioner
Practice locations: Bridgewater, NJ

National Provider Directory

National Provider Directory

Locations

505 State Route 28
Bridgewater, NJ 08807
Phone (732) 469-6444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1508674250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SHANNON RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072649",
            "telephone_number": "908-642-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 STATE ROUTE 28",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072493",
            "telephone_number": "908-642-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C DANCO PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "DANCO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "908-642-8188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.