LEROY STANFORD JR.
NPI 1013395052
Counselor - Addiction (Substance Use Disorder) in Camden, NJ

Active since May 11, 2015PECOS Enrolled
2600 MOUNT EPHRAIM AVE, SUITE 405, CAMDEN, NJ 08104(856) 963-7323(856) 963-7324 Get Directions Write a Review

NPPES record last updated: May 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leroy Stanford Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEROY STANFORD JR. (NPI 1013395052) is an individual addiction (substance use disorder) provider in Camden, New Jersey, licensed in New Jersey (37LC00215600) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013395052
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLEROY STANFORD JR.
Location Address2600 MOUNT EPHRAIM AVE, SUITE 405Camden, NJ 08104-3236
Mailing Address2600 Mount Ephraim Ave, Suite 405Camden, NJ 08104-3236 · (856) 963-7323 · Fax (856) 963-7324
Fax(856) 963-7324
Sole ProprietorYes
Enumeration DateMay 11, 2015
NPI 1013395052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NJ · 37LC00215600
2600 MOUNT EPHRAIM AVE, Camden, NJ 08104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Leroy Stanford Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
2600 MOUNT EPHRAIM AVE, SUITE 415
CAMDEN, NJ 08104
Case Management
2600 MOUNT EPHRAIM AVE, STE. 413
CAMDEN, NJ 08104
Home Health
2600 MOUNT EPHRAIM AVE
CAMDEN, NJ 08104
Clinic/Center (Rehabilitation, Substance Use Disorder)
2600 MOUNT EPHRAIM AVE, SUITE 405
CAMDEN, NJ 08104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leroy Stanford's NPI number?

The NPI number for Leroy Stanford is 1013395052. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Leroy Stanford located?

Leroy Stanford practices at 2600 Mount Ephraim Ave Suite 405, Camden, NJ 08104. The listed phone number is (856) 963-7323.

What is Leroy Stanford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Leroy Stanford enrolled in Medicare?

Yes. Leroy Stanford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leroy Stanford was last updated on May 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.