Peter Destefano, THERAPIST
Counselor, Addiction (Substance Use Disorder) in Southampton, New Jersey
1033089446- Practice location
- 13 Heather Pl, Southampton, NJ 08088-1115
- Phone
- 640-223-5172
- Fax
- —
- Last updated
- November 10, 2025
Peter Destefano is a Counselor, Addiction (Substance Use Disorder) based in Southampton, NJ. Peter Destefano practices in Southampton, NJ and has the professional credentials of THERAPIST. The NPI Number for Peter Destefano is 1033089446 and holds a License No. 37LC00377900 (NJ). The current practice location address for Peter Destefano is 13 Heather Pl, Southampton, NJ 08088-1115 and can be reached out via phone at 640-223-5172.
Provider Profile Details
- NPI Number
- 1033089446
- Provider Name
- Peter Destefano
- Credential
- THERAPIST
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 13 Heather Pl, Southampton, NJ 08088-1115
- Phone Number
- 640-223-5172
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 10, 2025
- Last Update Date
- November 10, 2025
- Certification Date
- November 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13 Heather Pl
Southampton, NJ 08088-1115 - City
- Southampton
- State
- New Jersey
- Zip
- 08088-1115
- Phone Number
- 640-223-5172
Provider Business Mailing Address Details
- Address
- 13 Heather Pl
Southampton, NJ 08088-1115 - City
- Southampton
- State
- NJ
- Zip
- 08088-1115
License Information
- License Number
- 37LC00377900
- License State
- NJ
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Peter Destefano, THERAPIST?
The NPI number of Peter Destefano, THERAPIST is 1033089446. It was assigned on November 10, 2025 and is currently active in the NPPES registry.
What is the specialty of Peter Destefano, THERAPIST?
Peter Destefano, THERAPIST is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00377900.
Where does Peter Destefano, THERAPIST practice?
The practice location is 13 Heather Pl, Southampton, NJ 08088-1115. The office can be reached at 640-223-5172 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033089446 directly on the NPPES registry website.