Dr Mamta Fuloria, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Mountain Lakes, New Jersey. She graduated from medical school in 1991 and has 35 years of diverse experience with area of expertise as Pediatric Medicine. Her current practice location is
100 Pollard Rd, Mountain Lakes, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 318-8753.
Dr Mamta Fuloria is licensed to practice in Georgia (license number 103790) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1063496149.
Physician's Profile
| Full Name | Dr Mamta Fuloria |
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| Gender | Female |
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| Speciality | Pediatric Medicine |
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| Experience | 35 Years |
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| Location | 100 Pollard Rd, Mountain Lakes, New Jersey |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mamta Fuloria graduated from medical school in 1991
NPI Data:
- NPI Number: 1063496149
- Provider Enumeration Date: 12/02/2005
- Last Update Date: 03/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991848269
- Enrollment ID: I20250925000335
Medical Identifiers
Medical identifiers for Dr Mamta Fuloria such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063496149 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 9801647 (North Carolina) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 103790 (Georgia) | Primary |
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. Dr Mamta Fuloria 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 |
|---|
Dr Mamta Fuloria, MD
100 Pollard Rd,
Mountain Lakes, NJ 07046-1652
Ph: (732) 318-8753 | Dr Mamta Fuloria, MD
100 Pollard Rd,
Mountain Lakes, NJ 07046-1652
Ph: (732) 318-8753 |
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