Fusion Diagnostics Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0005709 Issued in NJ

Legal business name

FUSION DIAGNOSTICS LABORATORIES

Practice address

210 Malapardis Rd
Suite #103
Cedar Knolls, NJ 07927-1121

Phone

(973) 998-8189

Fax

(973) 998-8192

NPI assigned

Aug 16, 2011

Last updated

Aug 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Montaser Hassan

Title

Ceo/Owner

Phone

(201) 962-0819

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amir M Ahmed, DO

  • Family Medicine Physician
  • Blacksburg, VA
  • NPI 1710689278
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1164701561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MALAPARDIS RD",
            "address_2": "SUITE #103",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271121",
            "telephone_number": "973-998-8189",
            "fax_number": "973-998-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MALAPARDIS RD",
            "address_2": "SUITE #103",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271121",
            "telephone_number": "973-998-8189",
            "fax_number": "973-998-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION DIAGNOSTICS LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MONTASER",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "201-962-0819",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "0005709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0355674",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fortiva Wellness, LLC
• Casidy Foster, LCSW
• Andrea Franco
• Cheryl Friedman, RPH
• Samara Friedman, M.D.
• Carmine John Galdieri III, D.M.D.
• Alan S Gellerstein, M.D.
• Mario Gencarelli, ATC
• Wesley George, PHARM. D.
• Donna G German-Klein, LCSW

• Clinical Medical Laboratory in Cedar Knolls, NJ
• Providers in Cedar Knolls, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.