Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVERSIDE HEALTH-FAIR LAWN HEALTH CENTER
NPI 1386363349
Clinic/Center in Fair Lawn, NJ

Active since August 24, 2022CLIA 31D2267092 · Waiver
14-01 BROADWAY STE 3-100, FAIR LAWN, NJ 07410(704) 661-1380 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2026, Aug 24, 2022 (2 updates tracked since 2022).

About Everside Health-fair Lawn Health Center NPPES

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

EVERSIDE HEALTH-FAIR LAWN HEALTH CENTER (NPI 1386363349), doing business as Marathon Health, Fair Lawn Nj, is a healthcare organization registered as a clinic/center in Fair Lawn, New Jersey and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through August 18, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1386363349
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERSIDE HEALTH-FAIR LAWN HEALTH CENTER
Location Address14-01 BROADWAY STE 3-100Fair Lawn, NJ 07410-2001
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateAugust 24, 2022
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1386363349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
14-01 BROADWAY STE 3-100, Fair Lawn, NJ 07410

Other Names 1

Doing Business AsMarathon Health, Fair Lawn Nj

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 31D2267092

Everside Health Fair Lawn Health Center · Fair Lawn, NJ
Active · expires Aug 18, 2028
CLIA Number31D2267092
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2026
Certificate Expiration DateAugust 18, 2028
Laboratory DirectorBinita Prajapati
Laboratory Phone(704) 661-1380
Laboratory LocationEverside Health Fair Lawn Health Center14-01 Broadway, Suite 3-100, 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.

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 Everside Health-Fair Lawn Health Center's NPI number?

The NPI number for Everside Health-Fair Lawn Health Center is 1386363349. It was assigned to this organization in the NPPES registry on August 24, 2022. The provider is doing business as Marathon Health, Fair Lawn NJ.

Where is Everside Health-Fair Lawn Health Center located?

Everside Health-Fair Lawn Health Center is located at 14-01 Broadway Ste 3-100, Fair Lawn, NJ 07410. The listed phone number is (704) 661-1380.

What is Everside Health-Fair Lawn Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Everside Health-Fair Lawn Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2267092) is associated with this NPI, valid through August 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Everside Health-Fair Lawn Health Center was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.