Organization Active NPI

Fernandez Place Supportive Living

  • Case Management Agency
  • Paterson, NJ
National Provider Identifier
1780486076
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
FERNANDEZ PLACE SUPPORTIVE LIVING
Practice address
515 21St Ave
Paterson, NJ 07513-1315
Phone
(800) 862-7194
NPI assigned
Mar 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Sujeire Bilbao
Title
Member
Phone
(800) 862-7194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

515 21St Ave
Paterson, NJ 07513-1315

Mailing address

515 21St Ave
Paterson, NJ 07513-1315
Phone (800) 862-7194

National Provider Directory

National Provider Directory

Locations

515 21st Ave
Paterson, NJ 07513

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1780486076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 21ST AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075131315",
            "telephone_number": "800-862-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 21ST AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075131315",
            "telephone_number": "800-862-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDEZ PLACE SUPPORTIVE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "BILBAO",
        "authorized_official_first_name": "SUJEIRE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "800-862-7194"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.