Organization Active NPI

Laurie J Peterson-Deerfield

  • Psychiatry Physician
  • Voorhees, NJ
National Provider Identifier
1831244110
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MB07419100 Issued in NJ
Legal business name
LAURIE J PETERSON-DEERFIELD
Practice address
1000 White Horse Rd., Suite 602
Glendale Executive Campus
Voorhees, NJ 08043-4501
Phone
(856) 770-0021
Fax
(856) 770-9521
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Dr. Laurie Deerfield, D.O.NPI 1689676207
Title
Owner
Phone
(856) 770-0021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 25MB07419100 NJ Primary

Addresses

Primary practice location

1000 White Horse Rd., Suite 602
Glendale Executive Campus
Voorhees, NJ 08043-4501

Mailing address

1000 White Horse Rd. Suite 602
Glendale Executive Campus
Voorhees, NJ 08043-4501
Phone (856) 770-0021

National Provider Directory

National Provider Directory

Locations

1000 White Horse Rd
Ste 602
Voorhees, NJ 08043
Phone (856) 770-1555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1831244110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WHITE HORSE RD. SUITE 602",
            "address_2": "GLENDALE EXECUTIVE CAMPUS",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-770-0021",
            "fax_number": "856-770-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WHITE HORSE RD., SUITE 602",
            "address_2": "GLENDALE EXECUTIVE CAMPUS",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-770-0021",
            "fax_number": "856-770-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE J PETERSON-DEERFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "DEERFIELD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-770-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB07419100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.