Active NPIIndividual providerSole proprietor

Elena Fofanova, FNP

Nurse Practitioner, Family in Pennington, New Jersey

NPI Number1356992556
Practice location
1 Capital Way, Pennington, NJ 08534-2520
Fax
—
Last updated
May 17, 2021

Elena Fofanova is a Nurse Practitioner, Family based in Pennington, NJ. Elena Fofanova practices in Pennington, NJ and has the professional credentials of FNP. The NPI Number for Elena Fofanova is 1356992556 and holds a License No. 26NJ00962800 (NJ). The current practice location address for Elena Fofanova is 1 Capital Way, Pennington, NJ 08534-2520 and can be reached out via phone at 609-303-4000.

Provider Profile Details

NPI Number
1356992556
Provider Name
Elena Fofanova
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1 Capital Way, Pennington, NJ 08534-2520
Phone Number
609-303-4000
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
September 27, 2019
Last Update Date
May 17, 2021
Certification Date
May 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Capital Way
Pennington, NJ 08534-2520
Zip
08534-2520
Phone Number
609-303-4000
Pennington, NJ 08534Get directions →

Provider Business Mailing Address Details

Address
570 N 23RD St Apt 7A
Philadelphia, PA 19130-3159
City
Philadelphia
State
PA
Zip
19130-3159
Phone Number
732-492-3320

License Information

License Number
26NJ00962800
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elena Fofanova, FNP?

The NPI number of Elena Fofanova, FNP is 1356992556. It was assigned on September 27, 2019 and is currently active in the NPPES registry.

What is the specialty of Elena Fofanova, FNP?

Elena Fofanova, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00962800.

Where does Elena Fofanova, FNP practice?

The practice location is 1 Capital Way, Pennington, NJ 08534-2520. The office can be reached at 609-303-4000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356992556 directly on the NPPES registry website.

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