Margaret Fonder, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD13546 Issued in RI

Practice address

400 Route 17 Ste 2
Ridgewood, NJ 07450-2013

Phone

(201) 652-4536

Fax

(201) 652-4906

NPI assigned

Jan 30, 2008

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Johns Hopkins University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bergen Dermatology Specialists PAGroup PAC ID 3870750292, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Bergen Dermatology Specialists PA

  • Dermatology Physician
  • Ridgewood, NJ
  • NPI 1598860280

  Dermatology, NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1962689133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STATE RT 17 STE 2",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502013",
            "telephone_number": "201-652-4536",
            "fax_number": "201-652-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROUTE 17 STE 2",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502013",
            "telephone_number": "201-652-4536",
            "fax_number": "201-652-4906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Ramapo Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "NJ",
            "postal_code": "074362500",
            "country_code": "US",
            "telephone_number": "201-337-5100",
            "fax_number": "201-337-7710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONDER",
        "first_name": "MARGARET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD13546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis J Fleisch, LCSW
• Michael D Fleisig, DDS
• Sylvia Evelyn Flescher, M.D.
• Laura Kennedy Flynn, MSN, ANP-BC, NP-C
• Carrie Lynn Fogel
• Cristina A Fontana
• Fordham-Lewis Consulting, L.L.C.
• Fordham-Lewis Consulting, LLC
• Form Functional Health LLC
• Kristen Marie Forman, LCSW

• All providers in Ridgewood, NJ
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.