Fiona Pakonis, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA08116600 Issued in NJ

Practice address

121 Center Grove Rd Ste 15
Randolph, NJ 07869-4453

Phone

(973) 361-4900

Fax

(973) 361-1842

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Fiona Sanger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Koala Pediatrics

  • Pediatrics Physician
  • Randolph, NJ
  • NPI 1740842962
  NPD Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1821163643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CENTER GROVE RD STE 15",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694453",
            "telephone_number": "973-361-4900",
            "fax_number": "973-361-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CENTER GROVE RD STE 15",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694453",
            "telephone_number": "973-361-4900",
            "fax_number": "973-361-1842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3155 State Route 10",
            "address_purpose": "LOCATION",
            "city": "Denville",
            "state": "NJ",
            "postal_code": "078343492",
            "country_code": "US",
            "telephone_number": "973-361-4900",
            "fax_number": "973-361-1842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAKONIS",
        "first_name": "FIONA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08116600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FIONA",
            "last_name": "SANGER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dominic Frank Olivo
• Optical Options
• Angela Otto-Ryan, DNP, APN, CPNP-PC
• Dominick Ottomanelli Jr., LSW
• Our Doctor in the House LLC
• Susan M Palmer, DO
• Lauren Pampinella, APN
• Shruti Pandya
• Par 5 Physical Therapy
• Helen H Park, D.D.S.

• Pediatrics Physician in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.