NPIMap

Organization Active NPI

Choicepoint LLC

  • Addiction Medicine (Family Medicine) Physician
  • Fair Lawn, NJ
National Provider Identifier
1215702576
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
CHOICEPOINT LLC
Practice address
23-00 Route 208 Ste 2-9
Fair Lawn, NJ 07410-1558
Phone
(908) 948-8802
NPI assigned
Nov 16, 2023
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CHOICEPOINT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Dustin X Johnson
Title
Ceo
Phone
(704) 450-2117

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X
Clinical Social Worker 1041C0700X
Addiction Medicine (Family Medicine) Physician 207QA0401X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

23-00 Route 208 Ste 2-9
Fair Lawn, NJ 07410-1558

Mailing address

4009 Masonboro Loop Rd
Wilmington, NC 28409-3640
Phone (844) 445-2563

National Provider Directory

National Provider Directory
Part of
Choicepoint LLC

Locations

23-00 Route 208
Ste 2-9
Fair Lawn, NJ 07410
Phone (844) 445-2563

5 Summit Ave
Ste 204
Hackensack, NJ 07601
Phone (201) 751-2202

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1215702576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 MASONBORO LOOP RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093640",
            "telephone_number": "844-445-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-00 ROUTE 208 STE 2-9",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101558",
            "telephone_number": "908-948-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICEPOINT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOICEPOINT LLC",
        "enumeration_date": "2023-11-16",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-450-2117"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.