NPIMap

Organization Active NPI

Fairfield Alternative Health and Medicine

  • Naturopath
  • Bridgeport, CT
National Provider Identifier
1235500083
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000543 Issued in CT
Legal business name
FAIRFIELD ALTERNATIVE HEALTH AND MEDICINE
Practice address
630 Brooklawn Ave
Bridgeport, CT 06604-1528
Phone
(203) 612-7600
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Dr. Jahon Lee, ND
Title
Attending Physician
Phone
(203) 689-2450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 000543 CT Primary

Addresses

Primary practice location

630 Brooklawn Ave
Bridgeport, CT 06604-1528

Mailing address

1019 Main St Suite 197
Bridgeport, CT 06604
Phone (203) 689-2450

National Provider Directory

National Provider Directory
Tax ID family
Fairfield Alternative Health and Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1235500083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 MAIN ST SUITE 197",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06604",
            "telephone_number": "203-689-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BROOKLAWN AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066041528",
            "telephone_number": "203-612-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD ALTERNATIVE HEALTH AND MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAHON",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "203-689-2450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.