Mona M Fawzy, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00442800 Issued in NJ

Practice address

208 Bunn Dr
Princeton, NJ 08540-2851

Phone

(609) 683-4999

NPI assigned

Aug 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Rutgers New Jersey Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Christopher B. Kruse, M.D., LLCGroup PAC ID 5890849020, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.52 of 100Reported as group

Quality

73.79

Improvement activities

40

Cost

76.67

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• The Radiology Group of New Jersey, LLC

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  Medicare reassignment Care Compare group NPD (past)
• Christopher B. Kruse, M.D., LLC

  • Dermatology Physician
  • Red Bank, NJ
  • NPI 1457598112
  Medicare reassignment Care Compare group
• Princeton Dermatology Associates PC

  • Dermatology Physician
  • Princeton, NJ
  • NPI 1336104561
  Medicare reassignment

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1508381708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 N BRIDGE ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072124",
            "telephone_number": "908-405-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BUNN DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402851",
            "telephone_number": "609-683-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWZY",
        "first_name": "MONA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00442800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Sarah Farrington, MD
• Kellen Faunt
• Robert John Fauske, P.T.
• Ann Raven Favaloro, MA, COUNS. PSYCH.
• Kristin M Fawcett, NP
• Pamela Gail Feig, LCSW
• Michelle I Feigenbaum, BCBA
• David Andrew Fein, MD
• Robin Fein, MSW LCSW
• Richard Sherwood Feinstein, MD

• Physician Assistant in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.