Healthcare Provider Details

I. General information

NPI: 1295832772
Provider Name (Legal Business Name): DANICO HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 JOHN STREET
HACKENSACK NJ
07601
US

IV. Provider business mailing address

108 JOHN STREET
HACKENSACK NJ
07601
US

V. Phone/Fax

Practice location:
  • Phone: 201-342-4410
  • Fax: 201-621-4428
Mailing address:
  • Phone: 201-342-4410
  • Fax: 201-621-4428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. ROBERT T MINERO
Title or Position: PARTNER
Credential:
Phone: 201-342-4410