MR. DAMIAN DAVID DAFFARA (NPI# 1245876325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245876325 |
| Entity Type | Individual |
| Full Name | MR. DAMIAN DAVID DAFFARA |
| Credential | COO |
| Practice Address |
355 Bloomfield Ave Caldwell NJ 07006-5118 |
| Mailing Address |
69 Nicholas Ave West Orange NJ 07052-2932 |
| Practice Telephone | 9732280072 |
| Practice Fax Number | 9732282311 |
| Mailing Telephone | 9177834554 |
| Mailing Fax Number | 9733251720 |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2019-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246YR1600X |
Spec/Tech, Health Info Specialization: Registered Record Administrator |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
355 BLOOMFIELD AVE |
| City | CALDWELL |
| State | NJ |
| Zip Code | 07006-5118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730541335 | Lightport Physical Therapy | Clinic/Center | 355 Bloomfield Ave, Caldwell, NJ 07006-5118 | 2016-03-22 |
| 1255804431 | Yris Vanbrakle | Physical Therapy Assistant | 355 Bloomfield Ave, Caldwell, NJ 07006-5118 | 2019-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063984979 | Ethan and The Bean A New Jersey Non Profit Corporation | Assistant Behavior Analyst | 31 Fairfield Avenue, West Caldwell, NJ 07006 | 2018-12-18 |
| 1083104228 | A Plus Rehab LLC | Physical Medicine & Rehabilitation | 9 Bloomfield Ave, North Caldwell, NJ 07006 | 2018-05-14 |
| 1326556564 | Salvatrice Rosalia Polizzotto | Social Worker | 249 Bloomfield Avenue, 2nd Floor, Caldwell, NJ 07006 | 2018-01-22 |
| 1750820452 | Caldwell University | Behavioral Analyst | 120 Bloombfield Avenue, Caldwell, NJ 07006 | 2017-02-15 |
| 1790151116 | Bankim Shah | Internal Medicine | 32 Wakefield Pl, Caldwell, NJ 07006 | 2015-08-19 |
| 1598157638 | Lisa Santeramo | Behavioral Analyst | 309 Westville Avenue, West Caldwell, NJ 07006 | 2015-02-26 |
| 1871832774 | Theodore K Chang | Dentist | 749 Bloomfield Ave Ste D, West Caldwell, NJ 07006 | 2013-02-12 |
| 1801132535 | Booyoung Chung | Pharmacist | 560 Passiac Ave Cvs, West Caldwell, NJ 07006 | 2012-12-28 |
| 1750611802 | Christopher Jones, Dds, P.a. | Dentist | 1129 Bloomfield Avenue, West Caldwell, NJ 07006 | 2010-01-12 |
| 1194976837 | Arthur Edward Halprin | Dentist | 277 Bloomfield Ave., Caldwell, NJ 07006 | 2008-09-30 |
| Find all providers in zip 07006 | ||||
| Taxonomy Code | 246YR1600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Health Info |
| Specialization | Registered Record Administrator |
| Definition to come... |
Please comment or provide details below to improve the information on MR. DAMIAN DAVID DAFFARA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.