Individual provider Active NPI

John A Fanouse, D.O.

  • Anesthesiology Physician
  • Flemington, NJ
National Provider Identifier
1205193422
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB10005200 Issued in NJ
Practice address
2100 Wescott Dr
Flemington, NJ 08822
Phone
(908) 300-3700
NPI assigned
Apr 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MB10005200 NJ Primary

Addresses

Primary practice location

2100 Wescott Dr
Flemington, NJ 08822

Mailing address

PO Box 622
Franklin Lakes, NJ 07417-0622
Phone (908) 300-3700

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
I20170815000254 NJ Practitioner - Anesthesiology 2466724208 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (908) 300-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Anesthesia Group, PA CurrentSince Aug 1, 2017 Accepting new patients
New Jersey Anesthesia Services LLC Anesthesiology CurrentSince May 1, 2024 Accepting new patients
Union Anesthesia Associates, PA Anesthesiology CurrentSince Jul 23, 2019 Accepting new patients
Morris Anesthesia Group, PA Anesthesiology CurrentSince Aug 1, 2017 Accepting new patients
Anesthesia Services of Practice Associates, PA Anesthesiology CurrentSince May 10, 2021 Accepting new patients
Prestige Anesthesia LLC Anesthesiology CurrentSince Dec 15, 2024 Accepting new patients
Rwjbh Observation Associates LLC Anesthesiology CurrentSince Dec 1, 2023 Accepting new patients
New Jersey Anesthesia Professionals LLC Anesthesiology CurrentSince May 1, 2024 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince Sep 29, 2019 Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

20 Commerce Dr
Ste 135
Cranford, NJ 07016
Phone (908) 449-0441

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

195 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 301-0917

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

695 Chestnut St
Union, NJ 07083
Phone (908) 688-6565

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1205193422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 622",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074170622",
            "telephone_number": "908-300-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WESCOTT DR",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "08822",
            "telephone_number": "908-300-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANOUSE",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB10005200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.