Cam P.C.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

CAM P.C.

Doing business as

Coleman Addiction Medicine

Practice address

23-00 State RT 208 Ste 1-1
Fair Lawn, NJ 07410-1558

Phone

(201) 458-7094

Fax

(201) 458-7095

NPI assigned

Oct 28, 2019

Last updated

Jul 29, 2024By 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

Bruce Jarvie

Title

VP, Treasurer

Phone

(214) 379-3300

Specialties & licenses 2

Addresses

Other names 1

• Coleman Addiction Medicine Doing business as

Locations

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1770126278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LAKEPOINTE DR STE 117",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576425",
            "telephone_number": "214-379-3300",
            "fax_number": "214-853-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-00 STATE RT 208 STE 1-1",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101558",
            "telephone_number": "201-458-7094",
            "fax_number": "201-458-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAM P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coleman Addiction Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coleman Addiction Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Brett Buchmann, DMD
• Long Kim Bui-Le, PA-C
• Ami Burgos
• Yuliya Bykova, MS
• Diana Victoria Caballero
• Laura Ann Cambria, DPT
• Gabriella Campana, LSW
• Jonathan Campos
• Steven F Canger, DDS
• Eric Canonaco, DPT

• Addiction Medicine (Family Medicine) Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Addiction Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.