Organization · NPI-2

Everside Health-Fair Lawn Health Center

Clinic/Center · Fair Lawn, NJ

NPI number1386363349
StatusActive
Last updated in NPPESSep 17, 2026

Details

NPI
1386363349
Entity type
Organization (NPI-2)
Legal business name
Everside Health-Fair Lawn Health Center
Organization subpart
No
Enumeration date
Aug 24, 2022
Certification date
Sep 17, 2026
Last updated
Sep 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Marathon Health, Fair Lawn Nj (Doing Business As)

Practice location

14-01 Broadway Ste 3-100
Fair Lawn, NJ 07410-2001

Phone 704-661-1380

Mailing address

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916

Authorized official

Jill Johnson Patton
Director Of Risk Management
7049365546

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