TC CSL Fair Lawn Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TC CSL FAIR LAWN SENIOR LIVING

Practice address

15-00 River Road
Fair Lawn, NJ 07410

Phone

(201) 794-4777

NPI assigned

Oct 19, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie Bustos, CALA

Title

Executive Director

Phone

(201) 794-4777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1073395448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-00 RIVER ROAD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-794-4777",
            "fax_number": "201-781-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-00 RIVER ROAD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-794-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TC CSL FAIR LAWN SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "BUSTOS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-794-4777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CALA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Szproch, M.A., LAC
• Rosa Taccetta, LCSW
• Salvatore A Tacconelli Pinciotti
• Vincent Taffuri, DC
• Joseph E Tarakjian, RPH
• Tcofb Acm Ambulance
• Te(a)CH Developmental and Behavioral Supports
• Emily Tedeschi, SLP
• Joann Telesh, LAC
• Victoria Tenenbaum, BCBA

• Assisted Living Facility in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.