Mrs. Michelle Fanous, DO
Emergency Medicine in Brick, New Jersey
1558598292- Practice location
- 425 Jack Martin Blvd, Brick, NJ 08724-7732
- Phone
- 732-397-8630
- Fax
- 201-365-5287
- Last updated
- June 24, 2025
Michelle Fanous is an Emergency Medicine based in Brick, NJ. Michelle Fanous practices in Brick, NJ and has the professional credentials of DO. The NPI Number for Michelle Fanous is 1558598292 and holds a License No. OT012883&OS015355 (PA). The current practice location address for Michelle Fanous is 425 Jack Martin Blvd, Brick, NJ 08724-7732 and can be reached out via phone at 732-397-8630 and via fax at 201-365-5287.
Provider Profile Details
- NPI Number
- 1558598292
- Provider Name
- Michelle Fanous
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 425 Jack Martin Blvd, Brick, NJ 08724-7732
- Phone Number
- 732-397-8630
- Fax Number
- 201-365-5287
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Other Names
- -- Michelle Sharobeem, DO (Former Name)
- Provider Enumeration Date
- June 21, 2009
- Last Update Date
- June 24, 2025
- Certification Date
- June 24, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 425 Jack Martin Blvd
Brick, NJ 08724-7732 - City
- Brick
- State
- New Jersey
- Zip
- 08724-7732
- Phone Number
- 732-397-8630
- Fax Number
- 201-365-5287
Provider Business Mailing Address Details
- Address
- 14 Alexis Dr
Farmingdale, NJ 07727-3648 - City
- Farmingdale
- State
- NJ
- Zip
- 07727-3648
- Phone Number
- 732-397-8630
- Fax Number
- 732-397-8630
License Information
- License Number (1)
- OT012883&OS015355
- License State (1)
- PA
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- 25MB09538400
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- OS015355&OT012883
- License State (3)
- PA
- Taxonomy (3)
- Family Medicine · 207Q00000X
- License Number (4)
- 25MB09538400
- License State (4)
- NJ
- Taxonomy (4)
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Emergency Medicine providers near Brick, NJ
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Frequently Asked Questions
What is the NPI number of Mrs. Michelle Fanous, DO?
The NPI number of Mrs. Michelle Fanous, DO is 1558598292. It was assigned on June 21, 2009 and is currently active in the NPPES registry.
What is the specialty of Mrs. Michelle Fanous, DO?
Mrs. Michelle Fanous, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in PA under license number OT012883&OS015355.
Where does Mrs. Michelle Fanous, DO practice?
The practice location is 425 Jack Martin Blvd, Brick, NJ 08724-7732. The office can be reached at 732-397-8630 (phone) or 201-365-5287 (fax).
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 1558598292 directly on the NPPES registry website.