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MICHELE E FANTASIA MD NPI 1447226261


NPI Information

NPI: 1447226261
Provider Name: MICHELE E FANTASIA, MD
Classification: Physical Medicine & Rehabilitation - 2081P0010X
Entity Type: Individual

Specialization: Pediatric Rehabilitation Medicine

PECOS Registration: Yes

Address:
200 SOMERSET ST
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 258-7000
Get Directions

Michele E Fantasia, MD is a pediatric rehabilitation medicine physical medicine rehabilitation in New Brunswick, NJ. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. Michele E Fantasia, MD NPI is 1447226261. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 SOMERSET ST
NEW BRUNSWICK, NJ
ZIP 08901-942
Phone: (732) 258-7000
Fax: (908) 301-5456

The NPI 1447226261 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 8/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine25MA06336800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1221487148-016OTHERNEW JERSEYQUALCARE INC
22300074OTHERNEW JERSEYAETNA HEALTHCARE
30125682OTHERNEW JERSEYCIGNA HEALTHCARE
42K3684OTHERNEW JERSEYHEALTHNET
5221487148OTHERNEW JERSEYUNITED HEALTHCARE
6S51B01OTHERNEW JERSEYEMPIRE
7221487148OTHERNEW JERSEYMULTIPLAN
801000313201OTHERNEW JERSEYAMERICHOICE NJ
9H12113MEDICARE UPINNEW JERSEY
101096732OTHERNEW JERSEYHORIZON NJ HEALTH
112119078000OTHERNEW JERSEYAMERIHEALTH
12221487148OTHERNEW JERSEYGREAT WEST
13221487148OTHERNEW JERSEYHORIZON BCBS NJ
1454027OTHERNEW JERSEYAMERIGROUP
15221487148OTHERNEW JERSEYDEVON HEALTHCARE
1624225OTHERNEW JERSEYUNIVERSITY HEALTH PLAN
17P2122543OTHERNEW JERSEYOXFORD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.