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MARISSA FAJARDO
NPI 1104221589
Specialist in Middletown, NY

Active since October 28, 2014
7 RODMAN ST, MIDDLETOWN, NY 10940(845) 344-1814 Get Directions Write a Review

NPPES record last updated: October 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marissa Fajardo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA FAJARDO (NPI 1104221589) is an individual specialist in Middletown, New York, licensed in New York (942754421) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1104221589
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMARISSA FAJARDO
Location Address7 RODMAN STMiddletown, NY 10940-3205
Mailing Address7 Rodman StMiddletown, NY 10940-3205 · (845) 344-1814
Phone(845) 344-1814
Sole ProprietorYes
Enumeration DateOctober 28, 2014
✔ NPI 1104221589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 942754421
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7 RODMAN ST, Middletown, NY 10940
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Fajardo's NPI number?

The NPI number for Marissa Fajardo is 1104221589. It was assigned to this individual provider in the NPPES registry on October 28, 2014.

Where is Marissa Fajardo located?

Marissa Fajardo practices at 7 Rodman St, Middletown, NY 10940. The listed phone number is (845) 344-1814.

What is Marissa Fajardo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Marissa Fajardo was last updated on October 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.