Provider Demographics
NPI:1386870681
Name:GIOFFRE, DARREN VINCENT (OT)
Entity type:Individual
Prefix:MR
First Name:DARREN
Middle Name:VINCENT
Last Name:GIOFFRE
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 WILDWOOD RD W
Mailing Address - Street 2:
Mailing Address - City:NORTHVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07647-1119
Mailing Address - Country:US
Mailing Address - Phone:201-421-7050
Mailing Address - Fax:
Practice Address - Street 1:636 WILDWOOD RD W
Practice Address - Street 2:
Practice Address - City:NORTHVALE
Practice Address - State:NJ
Practice Address - Zip Code:07647-1119
Practice Address - Country:US
Practice Address - Phone:201-784-1672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00226300225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ46TR00226300OtherNEW JERSEY DIVISION OF CONSUMER AFFAIRS