Fonderre L Musongong, FNP
Nurse Practitioner, Primary Care in Fair Lawn, New Jersey
1790117182- Practice location
- 19-21 Fair Lawn Ave Ste 2C, Fair Lawn, NJ 07410-2337
- Phone
- 201-479-4596
- Fax
- 201-499-7938
- Last updated
- June 16, 2025
Fonderre Lionel Musongong is a Nurse Practitioner, Primary Care based in Fair Lawn, NJ. Fonderre Lionel Musongong practices in Fair Lawn, NJ and has the professional credentials of FNP. The NPI Number for Fonderre Lionel Musongong is 1790117182 and holds a License No. 26NJ01446000 (NJ). The current practice location address for Fonderre Lionel Musongong is 19-21 Fair Lawn Ave Ste 2C, Fair Lawn, NJ 07410-2337 and can be reached out via phone at 201-479-4596 and via fax at 201-499-7938.
Provider Profile Details
- NPI Number
- 1790117182
- Provider Name
- Fonderre Lionel Musongong
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 19-21 Fair Lawn Ave Ste 2C, Fair Lawn, NJ 07410-2337
- Phone Number
- 201-479-4596
- Fax Number
- 201-499-7938
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 7, 2013
- Last Update Date
- June 16, 2025
- Certification Date
- June 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19-21 Fair Lawn Ave Ste 2C
Fair Lawn, NJ 07410-2337 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-2337
- Phone Number
- 201-479-4596
- Fax Number
- 201-499-7938
Provider Business Mailing Address Details
- Address
- 1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104 - City
- Berkeley Heights
- State
- NJ
- Zip
- 07922-2104
- Phone Number
- 908-273-4300
License Information
- License Number (1)
- 26NJ01446000
- License State (1)
- NJ
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 26NJ01446000
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Fonderre L Musongong, FNP?
The NPI number of Fonderre L Musongong, FNP is 1790117182. It was assigned on August 7, 2013 and is currently active in the NPPES registry.
What is the specialty of Fonderre L Musongong, FNP?
Fonderre L Musongong, FNP is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NJ under license number 26NJ01446000.
Where does Fonderre L Musongong, FNP practice?
The practice location is 19-21 Fair Lawn Ave Ste 2C, Fair Lawn, NJ 07410-2337. The office can be reached at 201-479-4596 (phone) or 201-499-7938 (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 1790117182 directly on the NPPES registry website.