COLEMAN ADDICTION MEDICINE – NPI #1770126278
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

COLEMAN ADDICTION MEDICINE is a provider located in FAIR LAWN, NJ. NPPES has assigned the NPI number 1770126278 to COLEMAN ADDICTION MEDICINE on October 28, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COLEMAN ADDICTION MEDICINE” is a dba name, the actual legal business name for this organization is CAM P.C.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was last updated on Jul 29, 2024. 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 COLEMAN ADDICTION MEDICINE below.

NPI Profile for
CAM P.C.

NPI Number
1770126278
Enumeration Date

(more than 6 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
CAM P.C.
Doing Business As (dba): COLEMAN ADDICTION MEDICINE
Primary location
23-00 STATE RT 208 STE 1-1
FAIR LAWN, NJ 07410-1558
Phone: (201) 458-7094 Fax: (201) 458-7095
Mailing address
1720 LAKEPOINTE DR STE 117
LEWISVILLE, TX 75057-6425
Phone: (214) 379-3300 Fax: (214) 853-9018
Organization Subpart
No
Authorized Official
BRUCE JARVIE
VP, TREASURER
Phone: (214) 379-3300
Updated
Certification Date
Jul 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
207Q00000X
- Family Medicine

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.