Tadd Maffucci, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00498700 Issued in NJ

Practice address

424 S Main St Ste F
Forked River, NJ 08731-4653

Phone

(609) 693-4343

Fax

(609) 693-4345

NPI assigned

Jun 25, 2014

Last updated

Aug 31, 2026By the provider in NPPES

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

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

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bankim D. Shah M.D. PAGroup PAC ID 3870760531, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bankim D. Shah M.D. PA

  dba Shore Preventative Wellness Center

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1992720809
  Medicare reassignment Care Compare group NPD
• Comprehensive Psychological and Wellness Center,LLC

  • Prescribing (Medical) Psychologist
  • Forked River, NJ
  • NPI 1821208158
  NPD (past)

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1700291044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BARNEGAT BLVD N UNIT 2104",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052583",
            "telephone_number": "609-721-1715",
            "fax_number": "609-693-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S MAIN ST STE F",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314653",
            "telephone_number": "609-693-4343",
            "fax_number": "609-693-4345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Barnegat Blvd N Unit 2104",
            "address_purpose": "LOCATION",
            "city": "Barnegat",
            "state": "NJ",
            "postal_code": "080052583",
            "country_code": "US",
            "telephone_number": "609-721-1715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAFFUCCI",
        "first_name": "TADD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00498700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Lucin, MS, RD, LDN
• Lumina Psychiatry Group LLC
• M&K Care Corp (Amada Senior Care Toms River)
• Faith Madden, MSOT, OTR/L
• Maddie List Otr LLC
• Shabnam Maghsood, M.D.
• Stephanie Makow, LSW
• Katherine J Marino, FNP-C
• Charles Anthony Marotta, DC
• Christopher Marrero

• Professional Counselor in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.