Janet Marie Fairbanks, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA05059300 Issued in NJ

Practice address

28 Prospect Ave
Haworth, NJ 07641-1444

Phone

(201) 384-2242

Fax

(201) 385-9864

NPI assigned

Aug 14, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tenafly Psychiatric Associates, L.L.C.

  • Psychiatry Physician
  • Tenafly, NJ
  • NPI 1821063835
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1053567602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N MAPLE AVE STE 302",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503233",
            "telephone_number": "201-384-2242",
            "fax_number": "201-385-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 PROSPECT AVE",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411444",
            "telephone_number": "201-384-2242",
            "fax_number": "201-385-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRBANKS",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA05059300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilvira D'Atri, DPM
• Michele Louise Deantonio, M.D.
• Alida Ann Derussi, LCSW
• Doctors Home Visits LLC
• Victoria Dubin Master
• Sari Fremont, LCSW, MSW
• Garden State Geriatrics PLLC
• Jennifer A Hade, D.M.D
• Happy and Healthy Feet
• Happy and Healthy Feet LLC

• Psychiatry Physician in Haworth, NJ
• Providers in Haworth, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.