Coleman Addiction Medicine, P.c.
Clinic/Center, Rehabilitation, Substance Use Disorder in Fair Lawn, New Jersey
1295395408- Practice location
- 23-00 State Rt 208 Ste 1-1, Fair Lawn, NJ 07410-1558
- Phone
- 617-996-8365
- Fax
- —
- Last updated
- January 13, 2021
Coleman Addiction Medicine, P.c. is a healthcare organization based in Fair Lawn, NJ. Coleman Addiction Medicine, P.c. practices in Fair Lawn, NJ. The NPI Number for Coleman Addiction Medicine, P.c. is 1295395408. The current practice location address for Coleman Addiction Medicine, P.c. is 23-00 State Rt 208 Ste 1-1, Fair Lawn, NJ 07410-1558 and can be reached out via phone at 617-996-8365.
Provider Profile Details
- NPI Number
- 1295395408
- Provider Name
- Coleman Addiction Medicine, P.c.
- Provider Entity Type
- Organization
- Address
- 23-00 State Rt 208 Ste 1-1, Fair Lawn, NJ 07410-1558
- Phone Number
- 617-996-8365
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- No
- Authorized Official
- Genco D'Andria · Cfo · 214-379-3300
- Provider Enumeration Date
- June 19, 2019
- Last Update Date
- January 13, 2021
- Certification Date
- January 13, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23-00 State Rt 208 Ste 1-1
Fair Lawn, NJ 07410-1558 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-1558
- Phone Number
- 617-996-8365
Provider Business Mailing Address Details
- Address
- 1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425 - City
- Lewisville
- State
- TX
- Zip
- 75057-6425
- Phone Number
- 214-379-3300
License Information
- Taxonomy (1)
- Substance Abuse Rehabilitation Facility · 324500000X
- Taxonomy (2)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Coleman Addiction Medicine, P.c.?
The NPI number of Coleman Addiction Medicine, P.c. is 1295395408. It was assigned on June 19, 2019 and is currently active in the NPPES registry.
What is the specialty of Coleman Addiction Medicine, P.c.?
Coleman Addiction Medicine, P.c. is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X).
Where does Coleman Addiction Medicine, P.c. practice?
The practice location is 23-00 State Rt 208 Ste 1-1, Fair Lawn, NJ 07410-1558. The office can be reached at 617-996-8365 (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 1295395408 directly on the NPPES registry website.