NPIMap

Organization Active NPI

Center for Family Guidance, PC

  • Geriatric Psychiatry Physician
  • Marlton, NJ
National Provider Identifier
1508803388
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
CENTER FOR FAMILY GUIDANCE, PC
Practice address
765 East Route 70
Building a
Marlton, NJ 08053
Phone
(856) 983-3900
NPI assigned
Jun 1, 2006
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Ron Defeo
Title
Ceo
Phone
(856) 797-4827

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X
Psychologist 103T00000X
Clinical Social Worker 1041C0700X
Family Medicine Physician 207Q00000X
Psychiatry Physician 2084P0800X
Geriatric Psychiatry Physician 2084P0805X Primary

Addresses

Primary practice location

765 East Route 70
Building a
Marlton, NJ 08053

Mailing address

765 East Route 70
Building a
Marlton, NJ 08053
Phone (856) 983-3900

Other identifiers 1

IdentifierTypeStateIssuer
7796706MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031125000323 NJ Part B Supplier - Clinic/Group Practice 2860396454 Receives reassigned benefits from 211 practitioners
Practice locations: Woodbury, NJ; Willingboro, NJ; Westampton, NJ; West Deptford, NJ; Voorhees, NJ; Vineland, NJ; Stratford, NJ; Pemberton, NJ…
O20200504002030 PA Part B Supplier - Clinic/Group Practice 2860396454 Receives reassigned benefits from 1 practitioner
Practice locations: Norristown, PA; Philadelphia, PA

National Provider Directory

National Provider Directory
Tax ID family
Center for Family Guidance PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

175 Madison Ave
Fl 6
Mount Holly, NJ 08060

1750 Zion Rd
Ste 108
Northfield, NJ 08225
Phone (609) 272-0655

875 Kings Hwy
Ste 100
West Deptford, NJ 08096
Phone (856) 251-0500

116A Burrs Rd
Westampton, NJ 08060
Phone (609) 265-0408

895 Rancocas Rd
Ste 2
Westampton, NJ 08060
Phone (609) 261-1641

6 N Broad St
Ste 301
Woodbury, NJ 08096
Phone (856) 251-0500

Practitioners & affiliated clinicians

Practitioners 222

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 222

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1508803388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 EAST ROUTE 70",
            "address_2": "BUILDING A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-983-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 EAST ROUTE 70",
            "address_2": "BUILDING A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-983-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FAMILY GUIDANCE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "DEFEO",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-797-4827"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7796706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.