Fauntix Support Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FAUNTIX SUPPORT SERVICES LLC

Practice address

270 Summit Ave Apt 1
Jersey City, NJ 07306-2666

Phone

(856) 278-9218

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Damon MillerNPI 1538626684

Title

Ceo/Executive Director

Phone

(856) 278-9218

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damon Miller

  • Case Manager/Care Coordinator
  • Jersey City, NJ
  • NPI 1538626684
  NPD Authorized official

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1700449923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SUMMIT AVE APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062666",
            "telephone_number": "856-278-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SUMMIT AVE APT 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062666",
            "telephone_number": "856-278-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUNTIX SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-278-9218"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538626684",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dmiller@fauntix.com",
            "affiliation": "N",
            "address_1": "27 Hewitt Ln",
            "city": "Sicklerville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080812547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Molly Ann Farrell
• Carol Ann Fasano, NP
• Sara Fatima, DDS
• Centia Faucher, PTA
• Reneta B Fauder, MA
• George Anthony Fay, PSYCHIATRIC-MENTAL H
• Adam Fayed, FNP-C
• Joanna Feinman, PH.D.,LPC
• Lourdes C Felarca, MD
• Shannen Felder

• Case Management Agency in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.