Active NPIOrganization

Fidelis Medical Group LLC

Family Medicine in Paterson, New Jersey

NPI Number1093409310
Practice location
1042 Main St, Paterson, NJ 07503-2212
Fax
973-278-2818
Last updated
June 8, 2023

Fidelis Medical Group LLC is a healthcare organization based in Paterson, NJ. Fidelis Medical Group LLC practices in Paterson, NJ. The NPI Number for Fidelis Medical Group LLC is 1093409310. The current practice location address for Fidelis Medical Group LLC is 1042 Main St, Paterson, NJ 07503-2212 and can be reached out via phone at 973-510-2444 and via fax at 973-278-2818.

Provider Profile Details

NPI Number
1093409310
Provider Name
Fidelis Medical Group LLC
Provider Entity Type
Organization
Address
1042 Main St, Paterson, NJ 07503-2212
Phone Number
973-510-2444
Fax Number
973-278-2818
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Aijuan Wang, MD · Medical Director · 732-221-6870
Provider Enumeration Date
June 8, 2023
Last Update Date
June 8, 2023
Certification Date
June 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1042 Main St
Paterson, NJ 07503-2212
Zip
07503-2212
Phone Number
973-510-2444
Fax Number
973-278-2818
Paterson, NJ 07503Get directions →

Provider Business Mailing Address Details

Address
101 Crawfords Corner RD Ste 1014R
Holmdel, NJ 07733-1976
City
Holmdel
State
NJ
Zip
07733-1976
Phone Number
605-915-3202

License Information

Taxonomy (1)
Internal Medicine · 207R00000X
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Fidelis Medical Group LLC?

The NPI number of Fidelis Medical Group LLC is 1093409310. It was assigned on June 8, 2023 and is currently active in the NPPES registry.

What is the specialty of Fidelis Medical Group LLC?

Fidelis Medical Group LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does Fidelis Medical Group LLC practice?

The practice location is 1042 Main St, Paterson, NJ 07503-2212. The office can be reached at 973-510-2444 (phone) or 973-278-2818 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093409310 directly on the NPPES registry website.

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