Active NPI
Linda Nadine Fagan, MD
- Independent Medical Examiner Physician
- Basking Ridge, NJ
National Provider Identifier
1861864654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Physician
- License
- 25MA07530800
- Practice address
- 24 Independence Dr
Basking Ridge, NJ 07920-3815 - Phone
- (908) 462-4620
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Physician | 202C00000X | 25MA07530800 | NJ | Primary |
Addresses
Primary practice location
24 Independence Dr
Basking Ridge, NJ 07920-3815
Mailing address
24 Independence Dr
Basking Ridge, NJ 07920-3815
Phone (908) 462-4620
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07530800 | NJ | MD | Independent Medical Examiner Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1861864654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 INDEPENDENCE DR",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079203815",
"telephone_number": "908-462-4620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 INDEPENDENCE DR",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079203815",
"telephone_number": "908-462-4620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGAN",
"first_name": "LINDA",
"middle_name": "NADINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "202C00000X",
"taxonomy_group": "",
"desc": "Independent Medical Examiner",
"state": "NJ",
"license": "25MA07530800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Basking Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.