FAIRLAWN BEHAVIORAL ASSOCIATES LLC
NPI 1861876419
Psychologist - Prescribing (Medical) in Fair Lawn, NJ
About Fairlawn Behavioral Associates Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRLAWN BEHAVIORAL ASSOCIATES LLC (NPI 1861876419) is a healthcare organization registered as a prescribing (medical) in Fair Lawn, New Jersey and active in the NPI registry since July 2015. The organization lists Mohsan Jan, Administartor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fairlawn Behavioral Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Fairlawn Behavioral Associates LLC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fairlawn Behavioral Associates LLC's NPI number?
The NPI number for Fairlawn Behavioral Associates LLC is 1861876419. It was assigned to this organization in the NPPES registry on July 14, 2015.
Where is Fairlawn Behavioral Associates LLC located?
Fairlawn Behavioral Associates LLC is located at 15-01 Broadway Suite# 10B, Fair Lawn, NJ 07410. The listed phone number is (201) 342-4004.
What is Fairlawn Behavioral Associates LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.
Is Fairlawn Behavioral Associates LLC enrolled in Medicare?
Yes. Fairlawn Behavioral Associates LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fairlawn Behavioral Associates LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Fairlawn Behavioral Associates LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Clinical Social Worker (1) and Mental Health Counselor (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fairlawn Behavioral Associates LLC was last updated on July 14, 2015. 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.
# Fairlawn Behavioral Associates Llc · NPI 1861876419
Prescribing (Medical) organization in Fair Lawn, New Jersey. Organization record, active in the CMS NPPES registry since July 14, 2015.
## Identity
- **NPI:** 1861876419 (Entity type: Organization)
- **Enumerated:** July 14, 2015
- **Primary specialty:** Psychologist - Prescribing (Medical) · taxonomy 103TP0016X
- **Organization subpart:** No
- **Authorized official:** Mohsan Jan, ADMINISTARTOR
## Practice location
- **Address:** 15-01 BROADWAY, SUITE# 10B, Fair Lawn, NJ 07410-6003
- **Phone:** (201) 342-4004 · **Fax:** (201) 342-4008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Clinical Social Worker (1), Mental Health Counselor (1); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2015
- **Other identifiers:** Medicare PIN 073813 (NJ); Medicaid 7492201 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1861876419) · Data from the CMS NPPES public registry.