Fellowship Village Inc
A Medicare group practice based in Basking Ridge, NJ: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4880506310), with 33 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4880506310
- Provider type
- Part A Provider - Hospice, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NJ
- Enrollments
- 4
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20031104000083 | NJ | Part B Supplier - Clinic/Group Practice | 1659411437 |
| O20260528004743 | NJ | Part B Supplier - Clinic/Group Practice | 1295685139 |
| O20161201001840 | NJ | Part A Provider - Hospice | 1386191302 |
| O20150303001869 | NJ | Part A Provider - Skilled Nursing Facility | 1659411437 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Fellowship Senior Living, Inc.
- Skilled Nursing Facility
- Basking Ridge, NJ
- NPI 1659411437
-
Fellowship Village Inc.
- Physical Therapist
- Basking Ridge, NJ
- NPI 1295685139
-
Fellowship Village Inc.
- Community Based Hospice Care Agency
- Basking Ridge, NJ
- NPI 1386191302
Practice locations
- Basking Ridge, NJ4
- Whiting, NJ2
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 75 of 100
Clinicians 33
Clinicians who reassign their Medicare benefits to this group (33) or whom Care Compare lists as members (11).
-
Lori Heather Attanasio, PA-C
- Medical Physician Assistant
- Parsippany, NJ
- NPI 1962558585
-
Paul Barone, D.O.
- Cardiovascular Disease Physician
- Watchung, NJ
- NPI 1124004346
-
Vikas S. Bawa, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Newark, NJ
- NPI 1053480475
-
Michael Blutfield, DPM
- Foot & Ankle Surgery Podiatrist
- Woodland Park, NJ
- NPI 1427624923
-
Maryann Cook, APN
- Adult Health Nurse Practitioner
- Perth Amboy, NJ
- NPI 1518371780
-
Ayman Eraiba, MD
- Internal Medicine Physician
- Wayne, NJ
- NPI 1467589085
-
Jill S Gallagher
- Gerontology Nurse Practitioner
- Boonton, NJ
- NPI 1215000856
-
Gustavo Gonzales, APN,C
- Adult Health Nurse Practitioner
- Dover, NJ
- NPI 1124055389
-
Justin Guiliana, DPM
- Foot & Ankle Surgery Podiatrist
- Succasunna, NJ
- NPI 1770010514
-
Farida Hassan, M.D
- Internal Medicine Physician
- Jackson, NJ
- NPI 1962677583
-
Heather Lines Degelman, RN APNC
- Nurse Practitioner
- Basking Ridge, NJ
- NPI 1770656274
-
Nicholas C Maglaras, MD
- Internal Medicine Physician
- Roselle Park, NJ
- NPI 1336245109
-
Charles G Marchese, DPM
- Podiatrist
- Manalapan, NJ
- NPI 1417061854
-
Michael Gerard McIntyre, FNP
- Family Nurse Practitioner
- Old Bridge, NJ
- NPI 1922527993
-
Jessica M Mennella, M.A., CCC-SLP
- Speech-Language Pathologist
- Jamesburg, NJ
- NPI 1346584950
-
Melissa Mercado, PA
- Medical Physician Assistant
- Fogelsville, PA
- NPI 1225199193
-
Soroh Neuberger, APN
- Family Nurse Practitioner
- Lakewood, NJ
- NPI 1619432325
-
Gerald Ngo, M.D.
- Cardiovascular Disease Physician
- South Plainfield, NJ
- NPI 1326427220
-
Elizabeth Noller
- Primary Care Nurse Practitioner
- Toms River, NJ
- NPI 1154878296
-
David Pizzano, DPM
- Foot & Ankle Surgery Podiatrist
- Succasunna, NJ
- NPI 1013910561
-
Thomas Porter, M.D.
- Pediatrics Physician
- Pittsburgh, PA
- NPI 1871555342
-
Madeleine Sophie Quinn, D.P.M.
- Podiatrist
- Park Ridge, NJ
- NPI 1295184471
-
Mary Richardson, NP
- Nurse Practitioner
- Raritan, NJ
- NPI 1528044492
-
Rebecca Rosen, MD
- Geriatric Medicine (Internal Medicine) Physician
- Morristown, NJ
- NPI 1508080995
-
Sidneia M. Sharif, NP-C
- Nurse Practitioner
- Summit, NJ
- NPI 1306109152
-
Arthur L Sheppell, MD
- Geriatric Medicine (Internal Medicine) Physician
- Denville, NJ
- NPI 1871698274
-
Talia Nicol Shwer, D.P.M.
- Podiatrist
- Massapequa, NY
- NPI 1962726968
-
Andrea Sparacino, FNP-BC
- Family Nurse Practitioner
- Eatontown, NJ
- NPI 1548927908
-
Michelle Suh, DPM
- Foot & Ankle Surgery Podiatrist
- Ridgewood, NJ
- NPI 1780099044
-
Xun Sun, NP
- Gerontology Nurse Practitioner
- Berkeley Heights, NJ
- NPI 1790388833
-
Lauren Anne Van Saders, APRN, CNS
- Gerontology Clinical Nurse Specialist
- Katy, TX
- NPI 1689826349
-
Paul Woroch
- Internal Medicine Physician
- Basking Ridge, NJ
- NPI 1083081392
-
Alyssa Claire Youngman, APN
- Adult Health Nurse Practitioner
- Mendham, NJ
- NPI 1174091441
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.