Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Coleman Addiction Medicine, PC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1295395408

Coleman Addiction Medicine, PC is a Substance Use Disorder Rehabilitation Clinic/Center in Fair Lawn, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23-00 State Rt 208 Ste 1-1
Fair Lawn, NJ 07410-1558
Phone: (617) 996-8365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1295395408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Genco D'Andria — Cfo · (214) 379-3300
NPI enumeratedJune 19, 2019
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021
Mailing address1720 Lakepointe Dr Ste 117, Lewisville, TX 75057-6425

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