OrganizationActive
Brave Wings Therapy, PC
NPI 1497304430 · Multi-Specialty Clinic/Center · Fairfield, NJ
Provider details
- NPI number
- 1497304430
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Moore, Owner(973) 747-0456
Specialties & taxonomies
Ambulatory Health Care Facilities
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
155 Passaic Ave
Fairfield, NJ 07004-3561
Phone: (973) 747-0456
Approximate (ZIP-level) locationGet directions
Mailing address
155 Passaic Ave
Fairfield, NJ 07004-3561
Registry dates
- Enumerated
- 2019-09-11
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.