Liilie Faulk, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NO09751400 Issued in NJ

Practice address

136 Elmora Ave
Second Floor
Elizabeth, NJ 07202-1148

Phone

(908) 289-3400

Fax

(908) 289-4333

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255484051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 ELMORA AVE",
            "address_2": "SECOND FLOOR",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021148",
            "telephone_number": "908-289-3400",
            "fax_number": "908-289-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 ELMORA AVE",
            "address_2": "SECOND FLOOR",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021148",
            "telephone_number": "908-289-3400",
            "fax_number": "908-289-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULK",
        "first_name": "LIILIE",
        "name_prefix": "Prof.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO09751400",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "212913",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109215",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7989008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Medical Group, P.C.
• Family Medical Group, PC
• Liqi Fan, M.D.
• William Farrer, MD
• Emily A Fasulo
• Favour Home Healthcare Services
• Michel-Ange Ferdinand, MD
• Pascale Ferdinand, MD
• Sonia Fernandes, APN
• Yanara Fernandez Quignon, APRN

• Registered Nurse in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.