Active NPI
Venis F Fanous, MD
- Internal Medicine Physician
- East Brunswick, NJ
National Provider Identifier
1871594432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA 41914
- Practice address
- 59 Brunswick Woods Dr
East Brunswick, NJ 08816-5601 - Phone
- (732) 238-3883
- Fax
- (732) 238-4826
- NPI assigned
- Aug 4, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA 41914 | NJ | Primary |
Addresses
Primary practice location
59 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Mailing address
59 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Phone (732) 238-3883
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4058674 | Other | AETNA | |
| 1304305 | Medicaid | NJ | |
| 27614 | Other | UNITED |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101117000808 | NJ | Practitioner - Internal Medicine | 9931394897 | Practice locations: East Brunswick, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
59 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Phone (732) 238-3883
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- University Medical Center of Princeton at Plainsboro
- Kessler Rehab Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 41914 | NJ | MD | Internal Medicine Physician |
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cranford, NJ
- NPI 1043052517
-
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Plainsboro, NJ
- NPI 1689714255
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697846400000",
"number": "1871594432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 BRUNSWICK WOODS DR",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165601",
"telephone_number": "732-238-3883",
"fax_number": "732-238-4826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 BRUNSWICK WOODS DR",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165601",
"telephone_number": "732-238-3883",
"fax_number": "732-238-4826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANOUS",
"first_name": "VENIS",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-04",
"last_updated": "2023-10-21",
"certification_date": "2023-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA 41914",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4058674",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1304305",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "27614",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2023; 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.