Individual provider Active NPI

Gina Coffaro, D.LITTT, LPC

  • Professional Counselor
  • Franklin Lakes, NJ
National Provider Identifier
1669137667
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00221400 Issued in NJ
Practice address
607 Summit Ave
Franklin Lakes, NJ 07417-1714
Phone
(201) 788-4307
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00221400 NJ Primary

Addresses

Primary practice location

607 Summit Ave
Franklin Lakes, NJ 07417-1714

Mailing address

607 Summit Ave
Franklin Lakes, NJ 07417-1714
Phone (201) 788-4307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00221400NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1669137667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SUMMIT AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171714",
            "telephone_number": "201-788-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 SUMMIT AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171714",
            "telephone_number": "201-788-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFARO",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "D.LITTT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00221400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.