Individual provider Active NPI

Selena Fucci, PA-C

  • Surgical Physician Assistant
  • Lawrenceville, NJ
National Provider Identifier
1689255036
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
3120 Princeton Pike FL 2
Lawrenceville, NJ 08648-2325
Phone
(609) 896-1701
Fax
(609) 896-3735
NPI assigned
Apr 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

3120 Princeton Pike FL 2
Lawrenceville, NJ 08648-2325

Mailing address

19 Swallow Rd
Holland, PA 18966-1951
Phone (267) 566-6320

Other practice location 1

8 Forrestal Rd S
Princeton, NJ 08540-6658
Phone (609) 896-1701

Other practice location 2

1 Medical Center Blvd
Upland, PA 19013
Phone (844) 464-6387

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Selena.Fucci.1@12833direct.athenahealth.com Direct
Direct Messaging Address Selena.Fucci.1@12833direct.athenahealth.com Direct

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
I20240116002822 NJ Practitioner - Physician Assistant 4789036658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: selena.fucci.1@12833direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1689255036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SWALLOW RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189661951",
            "telephone_number": "267-566-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 PRINCETON PIKE FL 2",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482325",
            "telephone_number": "609-896-1701",
            "fax_number": "609-896-3735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Forrestal Rd S",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085406658",
            "country_code": "US",
            "telephone_number": "609-896-1701",
            "fax_number": "609-896-3735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "PA",
            "postal_code": "19013",
            "country_code": "US",
            "telephone_number": "844-464-6387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUCCI",
        "first_name": "SELENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Selena.Fucci.1@12833direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3120 Princeton Pike Fl 2",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086482325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Selena.Fucci.1@12833direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8 Forrestal Rd S",
            "city": "Princeton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085406658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.