FAIR LAWN MEDICAL ATTENTION CENTER PA – NPI #1154568335
Clinic/Center

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FAIR LAWN MEDICAL ATTENTION CENTER PA is an AHC clinic located in FAIR LAWN, NJ. NPPES has assigned the NPI number 1154568335 to FAIR LAWN MEDICAL ATTENTION CENTER PA on January 09, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 14 years ago on Sep 12, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAIR LAWN MEDICAL ATTENTION CENTER PA below.

NPI Profile for
FAIR LAWN MEDICAL ATTENTION CENTER PA

NPI Number

1154568335

Enumeration Date

Jan 09, 2009
(more than 17 years ago)

Entity Type

Type-2 Organization

Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.

Legal Name

FAIR LAWN MEDICAL ATTENTION CENTER PA

Primary location

15-01 BROADWAY SUITE #12
FAIR LAWN MEDICAL ATTENTION CENTER
FAIR LAWN, NJ 07410

Phone: (201) 794-3600 Fax: (201) 794-3622

Mailing address

Same as primary location

Organization Subpart

Authorized Official

DAIVD ROMAN
MEDICAL DIRECTOR
Phone: (201) 794-3600

Updated

Sep 12, 2012

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
261QU0200X - Clinic/Center / Urgent Care (Primary)	NJ	25MA04901700

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.