DR. DAVID GARY KREFETZ (NPI# 1366414799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366414799 |
| Entity Type | Individual |
| Full Name | DR. DAVID GARY KREFETZ |
| Credential | D.O. |
| Practice Address |
130 White Horse Pike Clementon NJ 08021-4159 |
| Practice Telephone | 8565669000 |
| Practice Fax Number | 8565669701 |
| Mailing Telephone | 8565669000 |
| Mailing Fax Number | 8565669701 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MB054684 | NJ | Allopathic & Osteopathic Physicians |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MB054684 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2218101 | 05 |
| Street Address |
130 WHITE HORSE PIKE |
| City | CLEMENTON |
| State | NJ |
| Zip Code | 08021-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134608441 | Tara Marie Mastroianni | Counselor | 130 White Horse Pike, Clementon, NJ 08021-4159 | 2018-08-08 |
| 1386160448 | Lost Souls Recovery, LLC | Clinic/Center | 130 White Horse Pike, Clementon, NJ 08021-4159 | 2017-08-20 |
| 1457533671 | Karen Eve Locker | Social Worker | 130 White Horse Pike, Clementon, NJ 08021-4159 | 2007-11-29 |
| 1891915427 | Howard Hassman | Family Medicine | 130 White Horse Pike, Clementon, NJ 08021-4159 | 2007-04-26 |
| 1841410487 | Barbara Kelly | Psychologist | 130 White Horse Pike, Clementon, NJ 08021-4159 | 2007-04-26 |
| 1659599918 | Steven Jeromeg Glass | Psychiatry & Neurology | 130 White Horse Pike, Clementon, NJ 08021-4159 | 2007-04-23 |
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| 1316441645 | Ability Advocates of New Jersey | Case Management | 1451 Chews Landing Rd, Suite 208, Clementon, NJ 08021 | 2018-03-21 |
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| Find all providers in zip 08021 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659599918 | Steven Jeromeg Glass | Psychiatry & Neurology | 130 White Horse Pike, Clementon, NJ 08021-4159 | 2007-04-23 |
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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.