Individual provider Active NPI

Charles Delfino

  • Occupational Therapist
  • Hackensack, NJ
National Provider Identifier
1780270850
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
250 River St
Hackensack, NJ 07601-7514
Phone
(201) 820-3730
Fax
(201) 820-3731
NPI assigned
Dec 14, 2020
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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 NJ Primary

Addresses

Primary practice location

250 River St
Hackensack, NJ 07601-7514

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210202000012 NJ Practitioner - Occupational Therapist in Private Practice 9234543323 Reassigns benefits to 1 organization
I20210604002703 NY Practitioner - Occupational Therapist in Private Practice 9234543323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Occupational and Physical Therapy, PLLCGroup PAC ID 3779873401, shared by 43 NPIs, 497 clinicians

Practice addresses (Care Compare)

250 River St
Hackensack, NJ 07601-7514
Phone (201) 820-3730

333 W 52ND St
Suite 801
New York, NY 10019-6238
Phone (646) 912-9086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist CurrentSince Jan 12, 2021 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist CurrentSince Jan 12, 2021 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist CurrentSince May 10, 2021 Accepting new patients

Locations

250 River St
Hackensack, NJ 07601
Phone (201) 820-3730

70 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-9959

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

2333 Morris Ave
Ste B105
Union, NJ 07083
Phone (908) 686-8764

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

576 Broadhollow Rd
Melville, NY 11747

333 W 52nd St
Ste 801
New York, NY 10019
Phone (646) 912-9086

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 5

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1780270850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "631-359-5859",
            "fax_number": "631-396-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RIVER ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017514",
            "telephone_number": "201-820-3730",
            "fax_number": "201-820-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELFINO",
        "first_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.