Fonderre Lionel Musongong, FNP in Fair Lawn, NJ

Fonderre Lionel Musongong, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Fair Lawn, New Jersey. His current practice location is 31-00 Broadway, Fair Lawn, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 796-2255.

Fonderre Lionel Musongong is licensed to practice in New Jersey (license number 26NJ01446000) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790117182.

Contact Information

	Fonderre Lionel Musongong, FNP
	31-00 Broadway, Fair Lawn, NJ 07410-3963
	(201) 796-2255
	(201) 796-3711

Map and Direction

Provider's Profile

Full Name	Fonderre Lionel Musongong
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	31-00 Broadway, Fair Lawn, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790117182
Provider Enumeration Date: 08/07/2013
Last Update Date: 09/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3476912445
Enrollment ID: I20230709000008

Medical Identifiers

Medical identifiers for Fonderre Lionel Musongong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790117182	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ01446000 (New Jersey)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	26NJ01446000 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Fonderre Lionel Musongong allows following entities to bill medicare on his behalf.

Entity Name	Summit Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011

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. Fonderre Lionel Musongong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Fonderre Lionel Musongong, FNP 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300	Fonderre Lionel Musongong, FNP 31-00 Broadway, Fair Lawn, NJ 07410-3963 Ph: (201) 796-2255

Reviews and Comments

Nurse Practitioner Nurses in Fair Lawn, NJ

Mrs. Nancy P Gallagher, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22-18 Broadway, Suite 102, Fair Lawn, NJ 07410 Phone: 973-256-5557 Fax: 973-256-5036
Mallory Anne Smallze, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22-18 Broadway, Fair Lawn, NJ 07410 Phone: 201-414-9840
Nichole Larysz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5-15 Hartley Pl, Fair Lawn, NJ 07410 Phone: 551-795-6223
Meredith Claire Lubas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22-18 Broadway, Fair Lawn, NJ 07410 Phone: 201-475-5050
Maria Jidriska Myers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23-00 Nj-208, Fair Lawn, NJ 07410 Phone: 973-200-7380
Ms. Catherine Carlton, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410 Phone: 201-475-2050 Fax: 201-475-5522
Mrs. Nicole Hernandez, MSN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23-00 Route 208 Ste 1-5, Fair Lawn, NJ 07410 Phone: 201-797-1900

Fonderre Lionel Musongong, FNP - Medicare Nurse Practitioner in Fair Lawn, NJ