Individual provider Active NPI

Lorelei Ann Fen, APN

  • Nurse Practitioner
  • Pompton Plains, NJ
National Provider Identifier
1649312893
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NN10044200 Issued in NJ
Practice address
97 W Parkway
Pompton Plains, NJ 07444
Phone
(973) 831-5451
Fax
(973) 831-5431
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NN10044200 NJ Primary

Addresses

Primary practice location

97 W Parkway
Pompton Plains, NJ 07444

Mailing address

97 W Parkway
Pompton Plains, NJ 07444-1647
Phone (973) 831-5451

Other names 1

  • Lorelei Ann Iledan Fen Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725000826 NJ Practitioner - Nurse Practitioner 9032466800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

218 A Sunset Rd
Willingboro, NJ 08046-1110
Phone (609) 835-2900

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (844) 346-7222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NN10044200NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC CurrentSince Jun 1, 2018 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Jun 1, 2018 Accepting new patients

Locations

25 Main St
Ste 601
Hackensack, NJ 07601
Phone (201) 510-0910

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

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

18 Newark Pompton Tpke
Riverdale, NJ 07457
Phone (973) 616-4555

Organizations & group practices 2

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 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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1649312893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 W PARKWAY",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441647",
            "telephone_number": "973-831-5451",
            "fax_number": "973-831-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 W PARKWAY",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "07444",
            "telephone_number": "973-831-5451",
            "fax_number": "973-831-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEN",
        "first_name": "LORELEI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN10044200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORELEI",
            "last_name": "ILEDAN FEN",
            "middle_name": "ANN",
            "credential": "APN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pompton Plains, NJ

Sources for this page

Verify at the official NPI Registry.