Individual provider Active NPI

Patricia A. Gaffga-Madresh, ED.S, LMFT

  • Marriage & Family Therapist
  • Forked River, NJ
National Provider Identifier
1972724912
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FI00135300 Issued in NJ
Practice address
620 Lacey Rd
Suite 5
Forked River, NJ 08731-2244
Phone
(732) 269-1345
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FI00135300 NJ Primary

Addresses

Primary practice location

620 Lacey Rd
Suite 5
Forked River, NJ 08731-2244

Mailing address

230 Harbor Inn Road
Bayville, NJ 08721-3614
Phone (732) 269-1345

Other names 1

  • Patricia A. Gaffga Professional name

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
37FI00135300NJMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1972724912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HARBOR INN ROAD",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087213614",
            "telephone_number": "732-269-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LACEY RD",
            "address_2": "SUITE 5",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087312244",
            "telephone_number": "732-269-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFGA-MADRESH",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "credential": "ED.S, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00135300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GAFFGA",
            "middle_name": "A.",
            "credential": "ED.S, LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.