Active NPI
Fadja Robert-Carr
- Health Educator
- Belleville, NJ
National Provider Identifier
1679101604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 12 Belleview CT Apt D
Belleville, NJ 07109-4414 - Phone
- (833) 404-0202
- NPI assigned
- Mar 27, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Recreation Therapist | 225800000X | |||
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
12 Belleview CT Apt D
Belleville, NJ 07109-4414
Mailing address
12 Belleview CT Apt D
Belleville, NJ 07109-4414
Phone (833) 404-0202
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ignite One | Current | Accepting new patients | |
| Solama Supports | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Belleville, NJ
- NPI 1447908918
-
- Supports Brokerage Agency
- Montclair, NJ
- NPI 1750017265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1679101604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BELLEVIEW CT APT D",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071094414",
"telephone_number": "833-404-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 BELLEVIEW CT APT D",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071094414",
"telephone_number": "833-404-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERT-CARR",
"first_name": "FADJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2021-01-26",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.