Nicole Fairfax

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

26NH19618000 Issued in NJ

Practice address

431 56TH St # 1
West New York, NJ 07093-2133

Phone

(646) 905-9558

NPI assigned

May 9, 2023

Last updated

May 9, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1184314775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 56TH ST # 1",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932133",
            "telephone_number": "646-905-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 56TH ST # 1",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932133",
            "telephone_number": "646-905-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRFAX",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NJ",
            "license": "26NH19618000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estrada Podiatry Group LLC
• Alexander Estrada, D.P.M.
• Fernando Ignacio Estrems, R.PH.
• Exceptional Home Care Training Institute LLC
• Eyes R US LLC
• Gil V Fajardo, MD
• Family Practice Center, Corp.
• Armand P Fasano, M.D.
• David Fayngersh, M. D.
• Heidi Fentzke, D.C.

• Home Health Aide in West New York, NJ
• Providers in West New York, NJ by specialty
• Home Health Aide in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.