The Therapy Corner

Specialty details in registry · Fairfield, NJ

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At a glance

79 Sand Rd, Fairfield, NJ 07004-1563

NPPES record updated Oct 14, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

79 Sand Rd
Fairfield, NJ 07004-1563

Professional details: NPI, taxonomy & registry record

NPI1124994355

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 103K00000X
Enumeration date: Oct 14, 2025
Record updated: Oct 14, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103K00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

79 Sand Rd
Fairfield, NJ 07004-1563

Phone: (973) 264-9509

Mailing address

79 SAND RD

FAIRFIELD, NJ 070041563

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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