Individual provider Active NPI

Danielle Del Re, PT, DPT

  • Physical Therapist
  • Bayonne, NJ
National Provider Identifier
1720490428
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01525600 Issued in NJ
Practice address
11 W 25TH St
Bayonne, NJ 07002-3800
Phone
(201) 533-9200
NPI assigned
May 29, 2014
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01525600 NJ Primary
Orthopedic Physical Therapist 2251X0800X 40QA01525600 NJ

Addresses

Primary practice location

11 W 25TH St
Bayonne, NJ 07002-3800

Mailing address

38 Holly Ave
Staten Island, NY 10308-2601
Phone (646) 637-8420

Other practice location 1

195 Franklin Tpke
Mahwah, NJ 07430-1339
Phone (201) 828-9290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140609001126 NJ Practitioner - Physical Therapist in Private Practice 6800010083 Reassigns benefits to 2 organizations
I20250508002454 NY Practitioner - Physical Therapist in Private Practice 6800010083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Aid PT PCGroup PAC ID 7315160272, 4 clinicians

Practice addresses (Care Compare)

2627 D Hylan Blvd
Suite 4
Staten Island, NY 10306-4356
Phone (718) 351-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01525600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Aid PT PC Physical Therapist CurrentSince Mar 6, 2025 Accepting new patients
East Coast Spine Joint and Sports Medicine CurrentSince Jan 29, 2024 Accepting new patients
Mahwah Health Services, LLC Physical Therapist CurrentSince Nov 13, 2013 Accepting new patients
Mahwah Health Services Physical Therapist Past Accepting new patients

Locations

11 W 25th St
Bayonne, NJ 07002
Phone (201) 243-9291

764 Broadway
Bayonne, NJ 07002
Phone (917) 232-2458

720 Monroe St
Ste C208
Hoboken, NJ 07030
Phone 20153392001005

129 Newark Ave
Jersey City, NJ 07302
Phone (201) 333-2223

195 Franklin Tpke
Mahwah, NJ 07430
Phone (201) 828-9290

2627D Hylan Blvd
Ste 4
Staten Island, NY 10306
Phone (718) 351-2300

Organizations & group practices 4

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": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1720490428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HOLLY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082601",
            "telephone_number": "646-637-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W 25TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023800",
            "telephone_number": "201-533-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Franklin Tpke",
            "address_purpose": "LOCATION",
            "city": "Mahwah",
            "state": "NJ",
            "postal_code": "074301339",
            "country_code": "US",
            "telephone_number": "201-828-9290",
            "fax_number": "201-828-9670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL RE",
        "first_name": "DANIELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01525600",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01525600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.