DR. DAVID GARY KREFETZ D.O. NPI 1366414799

NPI Information

  • NPI: 1366414799
  • Provider Name: DR. DAVID GARY KREFETZ, D.O.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • Address: 130 WHITE HORSE PIKE
    CLEMENTON, NJ
    ZIP 08021
  • Phone: (856) 566-9000

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NPI Details

DR. David Gary Krefetz, D.O. is a child and adolescent psychiatry psychiatry neurology in Clementon, NJ. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. David Gary Krefetz, D.O. NPI is 1366414799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

130 WHITE HORSE PIKE
CLEMENTON, NJ
ZIP 08021-159
Phone: (856) 566-9000
Fax: (856) 566-9701

The enumeration date for this NPI number is 2/1/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryMB054684NEW JERSEYNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryMB054684NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12218101MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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