Anthony Defazio, MA
Counselor, Addiction (Substance Use Disorder) in Wall, New Jersey
1962850198- Practice location
- 1540 Rte 138 Ste 202, Wall, NJ 07719-3765
- Phone
- 732-984-1263
- Fax
- 732-515-9159
- Last updated
- March 7, 2017
Anthony Defazio is a Counselor, Addiction (Substance Use Disorder) based in Wall, NJ. Anthony Defazio practices in Wall, NJ and has the professional credentials of MA. The NPI Number for Anthony Defazio is 1962850198. The current practice location address for Anthony Defazio is 1540 Rte 138 Ste 202, Wall, NJ 07719-3765 and can be reached out via phone at 732-984-1263 and via fax at 732-515-9159.
Provider Profile Details
- NPI Number
- 1962850198
- Provider Name
- Anthony Defazio
- Credential
- MA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1540 Rte 138 Ste 202, Wall, NJ 07719-3765
- Phone Number
- 732-984-1263
- Fax Number
- 732-515-9159
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 27, 2016
- Last Update Date
- March 7, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1540 Rte 138 Ste 202
Wall, NJ 07719-3765 - City
- Wall
- State
- New Jersey
- Zip
- 07719-3765
- Phone Number
- 732-984-1263
- Fax Number
- 732-515-9159
Provider Business Mailing Address Details
- Address
- 1540 Rt 138 Suite 202
Wall, NJ 07719 - City
- Wall
- State
- NJ
- Zip
- 07719
- Phone Number
- 732-984-1263
- Fax Number
- 732-515-9159
License Information
- 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. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Wall, NJ
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- Danielle FreySocial Worker, Clinical · NPI 1104537323
- Mrs. Alexis GonzalezSpeech-Language Pathologist, · NPI 1962361402
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Frequently Asked Questions
What is the NPI number of Anthony Defazio, MA?
The NPI number of Anthony Defazio, MA is 1962850198. It was assigned on May 27, 2016 and is currently active in the NPPES registry.
What is the specialty of Anthony Defazio, MA?
Anthony Defazio, MA is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).
Where does Anthony Defazio, MA practice?
The practice location is 1540 Rte 138 Ste 202, Wall, NJ 07719-3765. The office can be reached at 732-984-1263 (phone) or 732-515-9159 (fax).
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 1962850198 directly on the NPPES registry website.