MR. JAMES MICHAEL DESTEFANO (NPI# 1104029099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104029099 |
| Entity Type | Individual |
| Full Name | MR. JAMES MICHAEL DESTEFANO |
| Credential | M.S.W. ,L.S.W. |
| Practice Address |
720 King George Rd Fords NJ 08863-1974 |
| Mailing Address |
4 Harbor Ct Monroe Township NJ 08831-1697 |
| Practice Telephone | 7327384209 |
| Practice Fax Number | 7327384208 |
| Mailing Telephone | 7328871530 |
| Mailing Fax Number | 7327384208 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
44SL05036200 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
720 KING GEORGE RD |
| City | FORDS |
| State | NJ |
| Zip Code | 08863-1974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104959287 | Advent Behavioral Clinics, LLC | Psychiatry & Neurology | 720 King George Rd, Suite 102, Fords, NJ 08863-1974 | 2007-03-14 |
| 1518409226 | Irene Garcia | Social Worker | 720 King George Rd, Suite 111, Fords, NJ 08863-1974 | 2016-11-11 |
| 1215216361 | Bridgeway Rehabilitation Services | Case Management | 720 King George Rd, Fords, NJ 08863-1974 | 2011-08-08 |
| 1629257282 | Constance Scharff | Home Health Aide | 720 King George Rd, Suite408, Fords, NJ 08863-1974 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548683485 | Zakia Clay | Social Worker | 720 King Georges Road, Fords, NJ 08863 | 2014-01-29 |
| 1912343021 | Anil Datwani | Pharmacist | 370 New Brunswick Avenue, Fords, NJ 08863 | 2013-05-15 |
| 1992929889 | Fords Family Dental Care LLC | Dentist | 532 New Brunswick Ave, Fords, NJ 08863 | 2007-04-12 |
| 1144386939 | Emergency Medical Associates | Clinic/Center | 143 Arlington Drive, Fords, NJ 08863 | 2006-12-28 |
| 1437253549 | Pranab Kumar Haldar | Internal Medicine | 512 New Brunswick Ave, Fords, NJ 08863 | 2006-09-11 |
| 1124533443 | Petrovani Family Medicine Pllc | Family Medicine | 10 Parker Pl, Fords, NJ 08863 | 2017-12-08 |
| 1669507810 | Quick Chek Corporation | Pharmacy | 6 Egan Ave, Fords, NJ 08863 | 2007-02-21 |
| 1609941764 | Shahid Latif | Internal Medicine | 565 New Brunswick Ave, Fords, NJ 08863 | 2006-11-22 |
| 1750474656 | Ajit Sodhi | Internal Medicine | 565 New Brunswick Ave, Fords, NJ 08863 | 2006-10-02 |
| 1174616064 | Pervaize Latif | Internal Medicine | 565 New Brunswick Ave, Fords, NJ 08863 | 2006-10-02 |
| Find all providers in zip 08863 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942828629 | Dae'quawn Landrum | Counselor | 12 Wisteria Dr Apt 1l, Fords, NJ 08863-1114 | 2020-07-09 |
| 1790036390 | Simone A Wright | Counselor | 786 King George Rd, 2nd Floor, Fords, NJ 08863-1981 | 2012-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042525 | Haydee Pimentel | Counselor | 1306 Fox Run Dr, Plainsboro, NJ 08536-2665 | 2020-10-27 |
| 1750981197 | Timothy Lowe | Counselor | 240 E Westfield Ave Apt C18, Roselle Park, NJ 07204-2326 | 2020-10-26 |
| 1417556069 | Nancy W Bodnar | Counselor | 52 Long Hill Rd, Long Valley, NJ 07853-3074 | 2020-10-23 |
| 1497354260 | Michele Marie Bruce | Counselor | 5 Horizon Rd Apt 306, Fort Lee, NJ 07024-6627 | 2020-10-22 |
| 1851990220 | Tzvi Friedman | Counselor | 308 South Pkwy, Clifton, NJ 07014-1223 | 2020-10-18 |
| 1285232702 | Guided Growth Therapy, LLC | Counselor | 230 Kings Hwy E Ste 140, Haddonfield, NJ 08033-1907 | 2020-10-16 |
| 1306444518 | Mindful Health Tbi Center Inc | Counselor | 37 Hanover Rd, Marlton, NJ 08053-1905 | 2020-10-12 |
| 1952908261 | Kathryn Vetrano | Counselor | 12 Lakeview St, River Edge, NJ 07661-1720 | 2020-10-08 |
| 1477150324 | Aloha Counseling and Support Services, LLC | Counselor | 5 Madison Ln, Sicklerville, NJ 08081-4410 | 2020-10-05 |
| 1801403175 | Visions and Pathways | Counselor | 49 Brahma Avenue, Bridgewater, NJ 08807 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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| 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.