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EVERSIDE HEALTH-FAIR LAWN HEALTH CENTER
NPI 1386363349
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine 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: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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) is a healthcare organization registered as a preventive medicine/occupational environmental medicine 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, 2026 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1386363349
Entity TypeOrganization
Primary Taxonomy2083P0500X
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
Phone(704) 661-1380
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1386363349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
14-01 BROADWAY STE 3-100, Fair Lawn, NJ 07410
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, 2026
CLIA Number31D2267092
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
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.

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 Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

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, 2026. 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 August 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.