Organization Active NPI

Fairfield Medical Treatment Center

  • General Practice Physician
  • Fairfield, NJ
National Provider Identifier
1093153280
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FAIRFIELD MEDICAL TREATMENT CENTER
Practice address
45 Kulick Rd
Fairfield, NJ 07004-3307
Phone
(973) 575-0614
NPI assigned
Jun 10, 2013
Last updated
Jun 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Simone Cimino
Title
Cfo
Phone
(973) 575-0614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

45 Kulick Rd
Fairfield, NJ 07004-3307

Mailing address

45 Kulick Rd
Fairfield, NJ 07004-3307

National Provider Directory

National Provider Directory

Locations

45 Kulick Rd
Fairfield, NJ 07004
Phone (800) 482-0403

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1093153280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 KULICK RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 KULICK RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043307",
            "telephone_number": "973-575-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD MEDICAL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "CIMINO",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "973-575-0614"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.