Fairfield Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAIRFIELD MEDICAL GROUP

Practice address

80 Fairfield Rd
Fairfield, NJ 07004-2401

Phone

(973) 575-5627

Fax

(973) 575-5307

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By 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

Dr. Joseph Anthony Decorso Jr., MD

Title

Medical Diector

Phone

(973) 575-5627

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467510958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FAIRFIELD RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042401",
            "telephone_number": "973-575-5627",
            "fax_number": "973-575-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FAIRFIELD RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042401",
            "telephone_number": "973-575-5627",
            "fax_number": "973-575-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECORSO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEDICAL DIECTOR",
        "authorized_official_telephone_number": "973-575-5627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.