CHOICEPOINT LLC - NPI 1215702576 - Family Medicine in Fair Lawn, NJ

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.

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About Choicepoint Llc NPPES

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

CHOICEPOINT LLC (NPI 1215702576) is a healthcare organization registered as an addiction medicine in Fair Lawn, New Jersey and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Dustin X Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215702576

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NameCHOICEPOINT LLC

Location Address23-00 ROUTE 208 STE 2-9Fair Lawn, NJ 07410-1558

Mailing Address4009 Masonboro Loop RdWilmington, NC 28409-3640 · (844) 445-2563

Phone(908) 948-8802

Organization SubpartYes

Authorized OfficialDustin X JohnsonCeo · (704) 450-2117

Enumeration DateNovember 16, 2023

Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1215702576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X

23-00 ROUTE 208 STE 2-9, Fair Lawn, NJ 07410

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2199028

Choicepoint LLC · Fair Lawn, NJ

Active · expires Nov 4, 2026

CLIA Number31D2199028

Laboratory TypePhysician Office

Certificate Effective DateNovember 5, 2024

Certificate Expiration DateNovember 4, 2026

Laboratory DirectorJohn Maggio

Laboratory Phone(908) 948-8802

Laboratory LocationChoicepoint LLC23-00 Route 208, Suite 2-9, Fair Lawn, NJ 07410

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAYE MCINTOSH MS, LCADC

Counselor (Addiction (Substance Use Disorder))