Individual provider Active NPI

Rosemary Ann Stafford, LDCSW

  • Marriage & Family Therapist
  • Cherry Hill, NJ
National Provider Identifier
1235334657
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03999 Issued in NJ
Practice address
1930 Route 70 E
Executive Mews, Suite X116
Cherry Hill, NJ 08003-2150
Phone
(856) 392-7777
Fax
(856) 424-9293
NPI assigned
Jun 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 03999 NJ Primary

Addresses

Primary practice location

1930 Route 70 E
Executive Mews, Suite X116
Cherry Hill, NJ 08003-2150

Mailing address

1930 Route 70 E
Executive Mews, Suite X116
Cherry Hill, NJ 08003-2150
Phone (856) 392-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03999NJMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1235334657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ROUTE 70 E",
            "address_2": "EXECUTIVE MEWS, SUITE X116",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032150",
            "telephone_number": "856-392-7777",
            "fax_number": "856-424-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ROUTE 70 E",
            "address_2": "EXECUTIVE MEWS, SUITE X116",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032150",
            "telephone_number": "856-392-7777",
            "fax_number": "856-424-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "ROSEMARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LDCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-16",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "03999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.