Fairlawnbrightstar

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

251E0000X Issued in NJ

Legal business name

FAIRLAWNBRIGHTSTAR

Practice address

470 Chamberlain Ave
#5
Paterson, NJ 07522-1031

Phone

(862) 257-9804

Fax

(973) 341-7088

NPI assigned

Sep 22, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Bostelaar

Title

Agency Manager

Phone

(862) 257-9804

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brightstar Care Doing business as

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1689076689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 CHAMBERLAIN AVE",
            "address_2": "#5",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075221031",
            "telephone_number": "862-257-9804",
            "fax_number": "973-341-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 CHAMBERLAIN AVE",
            "address_2": "#5",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075221031",
            "telephone_number": "862-257-9804",
            "fax_number": "973-341-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLAWNBRIGHTSTAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "BOSTELAAR",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "862-257-9804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "251E0000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEHEALTH",
            "identifier": "251E0000X",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightstar Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eyes for America, Inc.
• Schakia Yolanda Eze, D.O.
• Marina Ezrokhi, MD
• Maxine Elizabeth Facey, M.D.
• Heythem Fadleseed, MD
• Evan William Fairweather, MD
• Shari Fallet, D.O.
• Family Care of New Jersey
• Family Health Services
• Family Intervention Services Inc

• Home Health Agency in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.