Individual provider Active NPI

Natasha A Fuksina, M.D.

  • Internal Medicine Physician
  • Newark, NJ
National Provider Identifier
1053398065
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07003100 Issued in NJ
Practice address
550 Bloomfield Ave
Newark, NJ 07107-1338
Phone
(973) 483-1500
Fax
(973) 483-4577
NPI assigned
Dec 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07003100 NJ Primary

Addresses

Primary practice location

550 Bloomfield Ave
Newark, NJ 07107-1338

Mailing address

550 Bloomfield Ave
Newark, NJ 07107-1338
Phone (973) 483-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051227000012 NJ Practitioner - Internal Medicine 7315932258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albany Medical College of Union University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Practice addresses (Care Compare)

1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011

550 Bloomfield Ave
Newark, NJ 07107-1386
Phone (732) 482-4697

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Astra MD P C Internal Medicine CurrentSince Jul 7, 2011 Accepting new patients
Hudson MD Group Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Suburban Orthopaedic Medical Center, LLC CurrentSince May 1, 2020 Accepting new patients
Pain Spine & Rehab Past Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients
Suburban Medical Group, P,a. Past Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients
Moein F. Vaseghi, MD, PA PastSince Oct 10, 2021 Accepting new patients
University Hospital Past Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients

Locations

135 Columbia Tpke
Ste 203
Florham Park, NJ 07932
Phone (973) 822-0778

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

554 Bloomfield Ave
Newark, NJ 07107
Phone (973) 483-2277

784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999

443 Northfield Ave
West Orange, NJ 07052
Phone (973) 324-0103

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1053398065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 BLOOMFIELD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071338",
            "telephone_number": "973-483-1500",
            "fax_number": "973-483-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BLOOMFIELD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071338",
            "telephone_number": "973-483-1500",
            "fax_number": "973-483-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUKSINA",
        "first_name": "NATASHA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07003100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.