Drew W Fairweather, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15233 Issued in NJ

Practice address

201 Union Ave
BLDG. 2, Suite a-1
Bridgewater, NJ 08807-3002

Phone

(908) 722-7902

Fax

(908) 722-7057

NPI assigned

Nov 29, 2006

Sex

Male

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356418941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 UNION AVE",
            "address_2": "BLDG. 2, SUITE A-1",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073002",
            "telephone_number": "908-722-7902",
            "fax_number": "908-722-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 UNION AVE",
            "address_2": "BLDG. 2, SUITE A-1",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073002",
            "telephone_number": "908-722-7902",
            "fax_number": "908-722-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRWEATHER",
        "first_name": "DREW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "15233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Evelyn, RBT
• Everest Medical Associates, P.C.
• Kevin Evitts
• Neile Fahsbender, LCSW
• Steven Joel Faigenbaum, M.D.
• Oluwafeyisina Faniyi
• Kira Farman, M.S.
• Lisa Farrington-Rankins
• Sana Fasihuddin, OD
• James W Fay IV, LPC

• General Practice Dentistry in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.