Fairlawn Behavioral Associates Llc

LBN: Fairlawn Behavioral Associates Llc
Fairlawn Behavioral Associates Llc is an health care organization with primary practice located at 15-01 Broadway Suite# 10B, Fair Lawn NJ 07410-6003. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as the primary health care specialty. Fairlawn Behavioral Associates Llc can be contacted via phone (201) 342-4004, or through Jan, Mohsan via phone (201) 289-8455.

Contact Information

Primary practice address
15-01 Broadway Suite# 10B Fair Lawn NJ 07410-6003
Phone: (201) 342-4004
Fax: (201) 342-4008
Website:
Map and Directions
Authorized official contact:
Name: Jan, Mohsan
Phone: (201) 289-8455

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 25MA6506500 New Jersey

Profile Details

NPI number 1861876419
LBN Legal business name Fairlawn Behavioral Associates Llc
DBA Doing business as
Authorized official Jan, Mohsan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2015
Last updated Jul 14th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861876419 NPPES
New Jersey MEDICAID 7492201

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