Individual provider Active NPI

Svetlana Fomin, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Phillipsburg, NJ
National Provider Identifier
1326219924
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
309596 Issued in NY
Practice address
755 Memorial Pkwy Ste 302a
Phillipsburg, NJ 08865-2771
Phone
(484) 526-7300
Fax
(866) 449-5832
NPI assigned
Mar 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA08122400 NJ
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD488252 PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 309596 NY Primary

Addresses

Primary practice location

755 Memorial Pkwy Ste 302a
Phillipsburg, NJ 08865-2771

Mailing address

113 Austin St
Tinton Falls, NJ 07712-7760
Phone (732) 685-1566

Other practice location 1

193 US Highway 9 Ste 1
Manalapan, NJ 07726-3015
Phone (732) 903-4005

Other practice location 2

2591 Baglyos Cir Ste C49
Bethlehem, PA 18020-8058
Phone (484) 503-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080905000252 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 4981770591 Reassigns benefits to 3 organizations
I20210507000555 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 4981770591 Reassigns benefits to 2 organizations
I20251007000896 PA Practitioner - Endocrinology 4981770591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Crouse Medical Practice PLLCGroup PAC ID 8426189622, 187 clinicians
St Lukes Warren Physician Group PCGroup PAC ID 9739093675, 374 clinicians

Practice addresses (Care Compare)

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

193 US Hwy 9
Suite 1D
Manalapan, NJ 07726-3016
Phone (732) 903-4005

5000 Brittonfield Pkwy
Suite A125
East Syracuse, NY 13057-9230
Phone (315) 802-2601

736 Irving Ave
Syracuse, NY 13210-1687
Phone (315) 470-7111

755 Memorial Pkwy
Suite 302a
Phillipsburg, NJ 08865-2771
Phone (908) 847-2050

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08122400NJMDEndocrinology, Diabetes & Metabolism Physician
309596NYMDEndocrinology, Diabetes & Metabolism Physician
MD488252PAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Endocrinology, Diabetes & Metabolism CurrentSince Dec 5, 2021 Accepting new patients
Prime Dermatology CurrentSince Feb 23, 2025 Accepting new patients
Crouse Medical Practice, PLLC CurrentSince Jan 29, 2024 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Star Community Health, Inc Current Accepting new patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in Endocrinology, Diabetes & Metabolism CurrentSince Jun 21, 2021 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Oct 6, 2025 Accepting new patients
Crouse Medical Practice PLLC CurrentSince Jan 29, 2024 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Jun 21, 2021 Accepting new patients
Star Community Health, Inc CurrentSince Oct 23, 2025 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Dec 5, 2021 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Oct 6, 2025 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Oct 6, 2025 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Oct 6, 2025 Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients
Crouse Medical Practice PLLC Past Accepting new patients

Locations

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

755 Memorial Pkwy
Ste 302
Phillipsburg, NJ 08865
Phone (908) 847-6722

755 Memorial Pkwy
Ste 302A
Phillipsburg, NJ 08865
Phone (908) 847-2050

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

2200 River Rd
Unit A
Point Pleasant Boro, NJ 08742
Phone (732) 892-7300

5000 Brittonfield Pkwy
Ste B150
East Syracuse, NY 13057
Phone (315) 766-1627

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

739 Irving Ave
Ste 200
Syracuse, NY 13210
Phone (315) 479-5070

3229 E Genesee St
Syracuse, NY 13214
Phone (315) 446-7501

2591 Baglyos Cir
Ste C49
Bethlehem, PA 18020
Phone (484) 503-7300

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: sfomin354845@direct-sluhn.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEJDD/Endpoint/ABEJDD

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 8

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": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1326219924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 AUSTIN ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077127760",
            "telephone_number": "732-685-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY STE 302A",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652771",
            "telephone_number": "484-526-7300",
            "fax_number": "866-449-5832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "193 US Highway 9 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077263015",
            "country_code": "US",
            "telephone_number": "732-903-4005",
            "fax_number": "616-226-4685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2591 Baglyos Cir Ste C49",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180208058",
            "country_code": "US",
            "telephone_number": "484-503-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOMIN",
        "first_name": "SVETLANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA08122400",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD488252",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "309596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.