Healthcare Provider Details

I. General information

NPI: 1447179189
Provider Name (Legal Business Name): CADEN FAJBIK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 MCVILLE RD
FREEPORT PA
16229-1911
US

IV. Provider business mailing address

120 MCVILLE RD
FREEPORT PA
16229-1911
US

V. Phone/Fax

Practice location:
  • Phone: 724-596-0680
  • Fax:
Mailing address:
  • Phone: 724-596-0680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: CADEN FAJBIK
Title or Position: OWNER
Credential:
Phone: 724-596-0680