MR. JAMES MICHAEL DESTEFANO LCSW
NPI 1104029099
Counselor - Mental Health in Fords, NJ

Q: What is James Destefano's NPI number?

The NPI number for James Destefano is 1104029099. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Q: What is James Destefano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for James Destefano was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since June 07, 2007

720 KING GEORGE RD, FORDS, NJ 08863(732) 738-4209(732) 738-4208 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. James Michael Destefano Lcsw NPPES

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

MR. JAMES MICHAEL DESTEFANO LCSW (NPI 1104029099) is an individual mental health provider in Fords, New Jersey, licensed in New Jersey (44SC05436000) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1104029099

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JAMES MICHAEL DESTEFANOCredential: LCSW

Location Address720 KING GEORGE RDFords, NJ 08863-1974

Mailing Address4 Harbor CtMonroe Township, NJ 08831-1697 · (732) 887-1530 · Fax (732) 521-4448

Phone(732) 738-4209

Fax(732) 738-4208

Sole ProprietorYes

Enumeration DateJune 7, 2007

Last NPPES UpdateJune 8, 2026

NPPES CertifiedJune 8, 2026

✔ NPI 1104029099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NJ · 44SC05436000

720 KING GEORGE RD, Fords, NJ 08863

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Other Providers at the Same Location NPPES 3

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

ADVENT BEHAVIORAL CLINICS, LLC

Psychiatry & Neurology (Psychiatry)

720 KING GEORGE RD, SUITE 102
FORDS, NJ 08863

Middlesex County (732) 738-4209

BRIDGEWAY BEHAVIORAL HEALTH SERVICES

Case Management

720 KING GEORGE RD
FORDS, NJ 08863

Middlesex County (732) 771-2300

CONSTANCE SCHARFF

Home Health Aide

720 KING GEORGE RD, SUITE408
FORDS, NJ 08863

Middlesex County (732) 738-0333

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 James Destefano's NPI number?

The NPI number for James Destefano is 1104029099. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is James Destefano located?

James Destefano practices at 720 King George Rd, Fords, NJ 08863. The listed phone number is (732) 738-4209.

What is James Destefano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for James Destefano was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.