Active NPI
Aida Margolin, MD
- Psychiatry Physician
- Fair Lawn, NJ
National Provider Identifier
1669569604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MAD46488
- Practice address
- 25 15 Fair Lawn Ave
Fair Lawn, NJ 07410 - Phone
- (973) 633-7922
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MAD46488 | NJ | Primary |
Addresses
Primary practice location
25 15 Fair Lawn Ave
Fair Lawn, NJ 07410
Mailing address
15 Amherst CT
Wayne, NJ 07470
Phone (973) 633-7922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6898106 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAD46488 | NJ | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669569604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 AMHERST CT",
"city": "WAYNE",
"state": "NJ",
"postal_code": "07470",
"telephone_number": "973-633-7922",
"fax_number": "201-475-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 15 FAIR LAWN AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "07410",
"telephone_number": "973-633-7922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGOLIN",
"first_name": "AIDA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MAD46488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6898106",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.