Active NPIIndividual providerSole proprietor

Nicole Fairfax

Home Health Aide in West New York, New Jersey

NPI Number1184314775
Practice location
431 56TH St # 1, West New York, NJ 07093-2133
Fax
—
Last updated
May 9, 2023

Nicole Fairfax is a Home Health Aide based in West New York, NJ. Nicole Fairfax practices in West New York, NJ. The NPI Number for Nicole Fairfax is 1184314775 and holds a License No. 26NH19618000 (NJ). The current practice location address for Nicole Fairfax is 431 56TH St # 1, West New York, NJ 07093-2133 and can be reached out via phone at 646-905-9558.

Provider Profile Details

NPI Number
1184314775
Provider Name
Nicole Fairfax
Provider Entity Type
Individual
Gender
Female
Address
431 56TH St # 1, West New York, NJ 07093-2133
Phone Number
646-905-9558
Primary Taxonomy
Home Health Aide · 374U00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 9, 2023
Last Update Date
May 9, 2023
Certification Date
May 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
431 56TH St # 1
West New York, NJ 07093-2133
Zip
07093-2133
Phone Number
646-905-9558
West New York, NJ 07093Get directions →

Provider Business Mailing Address Details

Address
431 56TH St # 1
West New York, NJ 07093-2133
City
West New York
State
NJ
Zip
07093-2133
Phone Number
646-905-9558

License Information

License Number
26NH19618000
License State
NJ
Taxonomy
Home Health Aide · 374U00000X · 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 Nicole Fairfax?

The NPI number of Nicole Fairfax is 1184314775. It was assigned on May 9, 2023 and is currently active in the NPPES registry.

What is the specialty of Nicole Fairfax?

Nicole Fairfax is registered under the primary taxonomy Home Health Aide (code 374U00000X), licensed in NJ under license number 26NH19618000.

Where does Nicole Fairfax practice?

The practice location is 431 56TH St # 1, West New York, NJ 07093-2133. The office can be reached at 646-905-9558 (phone).

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 1184314775 directly on the NPPES registry website.

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