Fidelis Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FIDELIS MEDICAL GROUP LLC

Practice address

1042 Main St
Paterson, NJ 07503-2212

Phone

(973) 510-2444

Fax

(973) 278-2818

NPI assigned

Jun 8, 2023

Organization subpart

No

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

Authorized official

Name

Aijuan Wang, MDNPI 1992850820

Title

Medical Director

Phone

(732) 221-6870

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aijuan Wang, MD

  • Pediatrics Physician
  • Edison, NJ
  • NPI 1992850820
  NPD Authorized official

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1093409310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CRAWFORDS CORNER RD STE 1014R",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331976",
            "telephone_number": "605-915-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032212",
            "telephone_number": "973-510-2444",
            "fax_number": "973-278-2818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Main St",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032212",
            "country_code": "US",
            "telephone_number": "973-988-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIDELIS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "AIJUAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-221-6870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ferraro, MD
• Ronald J Ferrer, P.A.
• Bethany R Ferreras
• Jesse Feuerstein, DMD
• Andrea Ficarra
• Field of Vision Services, LLC
• Enjanae Leonora Fields Broughton
• Pablo Figueroa, MD
• Sheila Fils-Aime
• Lori Ann Finley, APN

• Family Medicine Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.