Individual provider Active NPI

Debra Irene Goggins, CHHA, RBT

  • Home Health Aide
  • Little Falls, NJ
National Provider Identifier
1851924070
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
26NH17127300 Issued in NJ
Practice address
98 Main St
Little Falls, NJ 07424-1409
Phone
(973) 997-9597
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X 26NH17127300 NJ Primary

Addresses

Primary practice location

98 Main St
Little Falls, NJ 07424-1409

Mailing address

50 Camp LN
Fairfield, NJ 07004-1002
Phone (973) 997-9597

Other practice location 1

174 Forest Ave
West Caldwell, NJ 07006-7970
Phone (973) 997-9597

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
26NH17127300NJMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1851924070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CAMP LN",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041002",
            "telephone_number": "973-997-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MAIN ST",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241409",
            "telephone_number": "973-997-9597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "West Caldwell",
            "state": "NJ",
            "postal_code": "070067970",
            "country_code": "US",
            "telephone_number": "973-997-9597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOGGINS",
        "first_name": "DEBRA",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "CHHA, RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "NJ",
            "license": "26NH17127300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.