C. Dandrea Medical

Organization Active NPI Urgent Care Clinic/Center · Fairfield, NJ

NPI 1962968313 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1962968313
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
C. DANDREA MEDICAL
Practice address
150 Fairfield Rd
Fairfield, NJ 07004-2407
Phone
(201) 317-4590
NPI assigned
Feb 11, 2019
Organization subpart
No

Authorized official

Name
Dr. Christopher R Dandrea, MD
Title
Medical Director/Owner
Phone
(201) 317-4590

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Yes

Addresses

Primary practice location

150 Fairfield Rd
Fairfield, NJ 07004-2407

Mailing address

150 Fairfield Rd
Fairfield, NJ 07004-2407
Phone (201) 317-4590

Other identifiers

IdentifierTypeStateIssuer
1801351622MedicaidNJ
1609118298MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962968313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FAIRFIELD RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042407",
            "telephone_number": "201-317-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FAIRFIELD RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042407",
            "telephone_number": "201-317-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. DANDREA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DANDREA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "201-317-4590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801351622",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609118298",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

All providers in Fairfield, NJ · Urgent Care Clinic/Center in New Jersey

Sources for this page

Verify at the official NPI Registry.