DR. JANET MARIE FAIRBANKS (M.D.) – Psychiatry Physician, NPI 1053567602

DR. JANET MARIE FAIRBANKS (M.D.) is a healthcare provider. based in Ridgewood, New Jersey. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 25MA05059300 (NJ). The NPI Number for DR. JANET MARIE FAIRBANKS (M.D.) is 1053567602

Main info

Female
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. JANET MARIE FAIRBANKS (M.D.)
NPI
1053567602
Phone
(201) 384-2242
Address
65 N MAPLE AVE STE 302
Enumeration Date
14 August 2008
Last Update Date
14 August 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2015688288
Graduation Year
1976 (50 years ago)
PAC ID
8123246824
Group Practice PAC ID
1759345614
Professional Enrollment ID
I20140821000983
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JANET MARIE FAIRBANKS (M.D.)

  • 302, North Maple Avenue, Northwest Ridgewood, Ridgewood, Bergen County, New Jersey, 07450, United States

    RIDGEWOOD, NJ 074503233

    Phone: (201) 384-2242

    Fax: (201) 385-9864

    Type: Mailing

  • 28, Prospect Avenue, Haworth, Bergen County, New Jersey, 07641, United States

    HAWORTH, NJ 076411444

    Phone: (201) 384-2242

    Fax: (201) 385-9864

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140821000983IPsychiatryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07450)

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Provider's Procedures

DR. JANET MARIE FAIRBANKS (M.D.) performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYNJ90833Psychotherapy, 30 minutes with patient and/or family member5840
PSYCHIATRYNJ90836Psychotherapy, 45 minutes with patient and/or family member35079

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759345614View full group profile
NameSpecialtyState
Nurse PractitionerNJ
-NJ
Nurse PractitionerNY
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Clinical Social WorkerNY
Psychiatry, Geriatric Psychiatry, Geriatric PsychiatryNJ
-NJ

Reviews

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Frequently asked questions

What is the standard ID for DR. JANET MARIE FAIRBANKS (M.D.) in the U.S.?
In the U.S., DR. JANET MARIE FAIRBANKS (M.D.) is identified by NPI 1053567602.
Should I treat DR. JANET MARIE FAIRBANKS (M.D.) as an active provider?
Patients and plans typically see DR. JANET MARIE FAIRBANKS (M.D.) as active in the national extract.
What does the directory say DR. JANET MARIE FAIRBANKS (M.D.) does?
Insurance directories may phrase it differently, but here DR. JANET MARIE FAIRBANKS (M.D.) maps to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. JANET MARIE FAIRBANKS (M.D.) tied to Ridgewood, New Jersey?
If you are local to Ridgewood, New Jersey, DR. JANET MARIE FAIRBANKS (M.D.) may be relevant to your search.
Can I export DR. JANET MARIE FAIRBANKS (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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