Active NPIOrganization

Fair Lawn Pain Management LLC

Anesthesiology, Pain Medicine in Fair Lawn, New Jersey

NPI Number1366826778
Practice location
28-06 Broadway, Fair Lawn, NJ 07410-3913
Fax
—
Last updated
July 15, 2015

Fair Lawn Pain Management LLC is a healthcare organization based in Fair Lawn, NJ. Fair Lawn Pain Management LLC practices in Fair Lawn, NJ. The NPI Number for Fair Lawn Pain Management LLC is 1366826778 and holds a License No. 25MA08578900 (NJ). The current practice location address for Fair Lawn Pain Management LLC is 28-06 Broadway, Fair Lawn, NJ 07410-3913 and can be reached out via phone at 201-475-8940.

Provider Profile Details

NPI Number
1366826778
Provider Name
Fair Lawn Pain Management LLC
Provider Entity Type
Organization
Address
28-06 Broadway, Fair Lawn, NJ 07410-3913
Phone Number
201-475-8940
Primary Taxonomy
Anesthesiology, Pain Medicine · 207LP2900X
Organization Subpart
No
Authorized Official
Vijay Gupta, MD · President · 973-777-5444
Provider Enumeration Date
July 15, 2015
Last Update Date
July 15, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
28-06 Broadway
Fair Lawn, NJ 07410-3913
Zip
07410-3913
Phone Number
201-475-8940
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
1117 Route 46
Suite 201
Clifton, NJ 07013-2449
City
Clifton
State
NJ
Zip
07013-2449
Phone Number
973-777-5444

License Information

License Number
25MA08578900
License State
NJ
Taxonomy
Anesthesiology, Pain Medicine · 207LP2900X · 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 Fair Lawn Pain Management LLC?

The NPI number of Fair Lawn Pain Management LLC is 1366826778. It was assigned on July 15, 2015 and is currently active in the NPPES registry.

What is the specialty of Fair Lawn Pain Management LLC?

Fair Lawn Pain Management LLC is registered under the primary taxonomy Anesthesiology, Pain Medicine (code 207LP2900X), licensed in NJ under license number 25MA08578900.

Where does Fair Lawn Pain Management LLC practice?

The practice location is 28-06 Broadway, Fair Lawn, NJ 07410-3913. The office can be reached at 201-475-8940 (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 1366826778 directly on the NPPES registry website.

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