Fair Lawn Pulmonary Rehabilitation LLC

Primary specialty

Pulmonary Rehabilitation Certified Respiratory TherapistTaxonomy code 2278P1005X

Legal business name

FAIR LAWN PULMONARY REHABILITATION LLC

Practice address

19-21 Fair Lawn Ave
Fair Lawn, NJ 07410-2331

Phone

(201) 475-4091

Fax

(201) 475-9473

NPI assigned

Dec 31, 2018

Last updated

Dec 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Inessa Hammershmidt

Title

Manager

Phone

(201) 982-1591

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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.

• Aliona Rudys, MD

  • Internal Medicine Physician
  • Fair Lawn, NJ
  • NPI 1720057540
  Medicare reassignment NPD

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1245702356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074100093",
            "telephone_number": "201-475-4091",
            "fax_number": "201-475-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19-21 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102331",
            "telephone_number": "201-475-4091",
            "fax_number": "201-475-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR LAWN PULMONARY REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "HAMMERSHMIDT",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-982-1591",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2278P1005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fair Lawn Womens Health

• Certified Respiratory Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Certified Respiratory Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.