Brave Wings Therapy, Pc is a
Clinic/center - Multi-specialty based in Fairfield, New Jersey. Brave Wings Therapy, Pc is licensed to practice in * (Not Available) (license number ) and their current practice location is
155 Passaic Ave, Fairfield, New Jersey. It can be reached at their office (for appointments etc.) via phone at
(973) 747-0456.
NPI number for Brave Wings Therapy, Pc is 1497304430 and their current mailing address is 155 Passaic Ave, Fairfield, New Jersey. Brave Wings Therapy, Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1497304430.
Healthcare Provider's Profile
| Full Name | Brave Wings Therapy, Pc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 155 Passaic Ave, Fairfield, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497304430
- Provider Enumeration Date: 09/11/2019
- Last Update Date: 04/23/2026
Medical Identifiers
Medical identifiers for Brave Wings Therapy, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497304430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brave Wings Therapy, Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brave Wings Therapy, Pc
155 Passaic Ave,
Fairfield, NJ 07004-3561
Ph: (973) 747-0456 | Brave Wings Therapy, Pc
155 Passaic Ave,
Fairfield, NJ 07004-3561
Ph: (973) 747-0456 |
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