COLEMAN ADDICTION MEDICINE, P.C.
NPI 1295395408
Clinic/Center - Rehabilitation, Substance Use Disorder in Fair Lawn, NJ

Q: What is Coleman Addiction Medicine, P.C.'s NPI number?

The NPI number for Coleman Addiction Medicine, P.C. is 1295395408. It was assigned to this organization in the NPPES registry on June 19, 2019.

Q: What is Coleman Addiction Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since June 19, 2019

23-00 STATE RT 208 STE 1-1, FAIR LAWN, NJ 07410(617) 996-8365 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2021, Dec 18, 2019, Jun 19, 2019 (3 updates tracked since 2019).

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About Coleman Addiction Medicine, P.c. NPPES

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

COLEMAN ADDICTION MEDICINE, P.C. (NPI 1295395408) is a healthcare organization registered as a rehabilitation, substance use disorder in Fair Lawn, New Jersey and active in the NPI registry since June 2019. The organization lists Genco D'andria, Cfo, as its authorized official.

NPPES Registry Identity

NPI1295395408

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameCOLEMAN ADDICTION MEDICINE, P.C.

Location Address23-00 STATE RT 208 STE 1-1Fair Lawn, NJ 07410-1558

Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300

Phone(617) 996-8365

Organization SubpartNo

Authorized OfficialGenco D'andriaCfo · (214) 379-3300

Enumeration DateJune 19, 2019

Last NPPES UpdateJanuary 13, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2021

✔ NPI 1295395408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

23-00 STATE RT 208 STE 1-1, Fair Lawn, NJ 07410

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Other Providers at the Same Location NPPES

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

CAM P.C.

Family Medicine (Addiction Medicine)

23-00 STATE RT 208 STE 1-1
FAIR LAWN, NJ 07410

Bergen County (201) 458-7094

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 Coleman Addiction Medicine, P.C.'s NPI number?

The NPI number for Coleman Addiction Medicine, P.C. is 1295395408. It was assigned to this organization in the NPPES registry on June 19, 2019.

Where is Coleman Addiction Medicine, P.C. located?

Coleman Addiction Medicine, P.C. is located at 23-00 State Rt 208 Ste 1-1, Fair Lawn, NJ 07410. The listed phone number is (617) 996-8365.

What is Coleman Addiction Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Coleman Addiction Medicine, P.C. was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.