ANTHONY DEFAZIO MA
NPI 1962850198
Counselor - Addiction (Substance Use Disorder) in Wall, NJ

Q: What is Anthony Defazio's NPI number?

The NPI number for Anthony Defazio is 1962850198. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Q: What is Anthony Defazio's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Defazio was last updated on March 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 27, 2016

1540 RTE 138 STE 202, WALL, NJ 07719(732) 984-1263(732) 515-9159 Get Directions Write a Review

NPPES record last updated: March 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Anthony Defazio Ma NPPES

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

ANTHONY DEFAZIO MA (NPI 1962850198) is an individual addiction (substance use disorder) provider in Wall, New Jersey and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1962850198

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameANTHONY DEFAZIOCredential: MA

Location Address1540 RTE 138 STE 202Wall, NJ 07719-3765

Mailing Address1540 Rt 138 Suite 202Wall, NJ 07719 · (732) 984-1263 · Fax (732) 515-9159

Phone(732) 984-1263

Fax(732) 515-9159

Sole ProprietorYes

Enumeration DateMay 27, 2016

Last NPPES UpdateMarch 7, 2017

✔ NPI 1962850198 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

1540 RTE 138 STE 202, Wall, NJ 07719

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Anthony Defazio's NPI number?

The NPI number for Anthony Defazio is 1962850198. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Anthony Defazio located?

Anthony Defazio practices at 1540 Rte 138 Ste 202, Wall, NJ 07719. The listed phone number is (732) 984-1263.

What is Anthony Defazio's specialty?

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

What insurance does Anthony Defazio accept?

Health plans from Providence Health Plan list Anthony Defazio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony Defazio was last updated on March 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.