Provider Demographics
NPI:1295138808
Name:NAPOLITANO, FAUSTO
Entity type:Individual
Prefix:
First Name:FAUSTO
Middle Name:
Last Name:NAPOLITANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 FOREST AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5200
Mailing Address - Country:US
Mailing Address - Phone:866-380-6611
Mailing Address - Fax:866-695-0107
Practice Address - Street 1:52 FOREST AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5200
Practice Address - Country:US
Practice Address - Phone:866-380-6611
Practice Address - Fax:866-695-0107
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-28
Last Update Date:2014-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care