Fairlawn Behavioral Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FAIRLAWN BEHAVIORAL ASSOCIATES

Practice address

15-01 Broadway
Suite 10B
Fair Lawn, NJ 07410-6003

Phone

(201) 794-7733

Fax

(201) 794-7735

NPI assigned

Oct 26, 2015

Organization subpart

No

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

Authorized official

Name

Mohsan Jan

Title

Administrator

Phone

(845) 821-2605

Specialties & licenses 1

Addresses

Tax ID family

Fairlawn Behavioral Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fairlawn Behavioral Associates LLC

  • Prescribing (Medical) Psychologist
  • Fair Lawn, NJ
  • NPI 1861876419
  NPD tax ID

Practitioners 1

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

• Syed Arif Zaidi, M.D.

  • Psychiatry Physician
  • Hackensack, NJ
  • NPI 1982675476
  NPD (past)

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1952773392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076660809",
            "telephone_number": "201-289-8455",
            "fax_number": "201-243-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY",
            "address_2": "SUITE 10B",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106003",
            "telephone_number": "201-794-7733",
            "fax_number": "201-794-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLAWN BEHAVIORAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "JAN",
        "authorized_official_first_name": "MOHSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-821-2605"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fair Lawn Schools
• Fair Lawn Spine & Injury Center, LLC
• Fair Lawn Spine & Joint Rehabilitation Center LLC
• Fair Lawn Spine & PT Care LLC
• Fair Lawn Womens Health
• Fairlawn Behavioral Associates LLC
• Fairlawn Pharmacy Limited Liability Company
• Family Dentists, P.a.
• Family Eyecare Associates, PC
• Syeda Saleha Farooqui, MD

• Clinical Social Worker in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.