DR. MARC WILLIAM LAFONTE M.D.
NPI 1043535180
Surgery - Surgical Critical Care in New Brunswick, NJ

Q: What is Marc Lafonte's NPI number?

The NPI number for Marc Lafonte is 1043535180. It was assigned to this individual provider in the NPPES registry on April 1, 2010.

Q: What is Marc Lafonte's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Marc Lafonte was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2010PECOS EnrolledAccepts Medicare Assignment

80.17/100

CMS Quality Rating

1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901(732) 828-3000 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Marc William Lafonte M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARC WILLIAM LAFONTE M.D. (NPI 1043535180) is an individual surgical critical care provider in New Brunswick, New Jersey, licensed in New Jersey (25MA10141900) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1043535180

Entity TypeIndividualMale

Primary Taxonomy2086S0102X

Provider Legal NameDR. MARC WILLIAM LAFONTECredential: M.D.

Location Address1 ROBERT WOOD JOHNSON PLNew Brunswick, NJ 08901-1928

Mailing Address593 Eddy St, Department Of Surgical Critical CareProvidence, RI 02903-4923 · (401) 444-4000

Phone(732) 828-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 1, 2010

Last NPPES UpdateJuly 23, 2021

NPPES CertifiedJuly 23, 2021

✔ NPI 1043535180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

Licenses✔ Licensed in NJ · 25MA10141900✔ Licensed in RI · LP03631

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

1 ROBERT WOOD JOHNSON PL, New Brunswick, NJ 08901

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Secondary Practice Location 1

Location 1593 Eddy St, Department of Surgical Critical CareProvidence, RI 02903-4923 · Phone (401) 444-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marc William Lafonte M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294000790

PECOS Enrollment IDI20171010001260

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Marc Lafonte reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rutgers Health-Rwj Neurosurgery Faculty

Same address

Pediatric Surgery

1 ROBERT WOOD JOHNSON PL STE 2100
New Brunswick, NJ 08901

Reassigned Medicare billing, New Jersey enrollment
259 clinicians in this Medicare group

NPI 1659406957 (732) 235-7044

Rutgers Health-Rwj Neurosurgery Faculty

9.3 mi

Surgery

110 REHILL AVE
Somerville, NJ 08876

Reassigned Medicare billing, New Jersey enrollment
28 clinicians in this Medicare group

NPI 1548356926 (908) 685-2856

Ccmma Nj LLC

30 mi

Critical Care Medicine

350 BOULEVARD
Passaic, NJ 07055

Reassigned Medicare billing, New Jersey enrollment
51 clinicians in this Medicare group

NPI 1124543095 (973) 365-4300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

351 services152 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

203 services93 patients

Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth G0509

A telehealth consultation for critical care is a virtual meeting with a doctor for ongoing critical health issues. It involves a 50-minute session where the physician connects with the patient and other healthcare providers to discuss and manage the patient's condition. This method ensures safe, convenient care.

30 services26 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

17 services14 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310050

Location25 Pocono RoadDenville, NJ 07834 · Morris County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.69

Promoting Interoperability

100

Improvement Activities

Cost

53.49

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOKESH LAHOTI

Internal Medicine

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 823-3000

BILLIE S FYFE KIRSCHNER MD

Pathology (Anatomic Pathology)

1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 937-8651

LISANNE HAUCK

Pediatrics (Pediatric Critical Care Medicine)

1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7900

DANIEL NOTTERMAN

Pediatrics (Pediatric Critical Care Medicine)

1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7900

SHAUL COHEN MD

Anesthesiology

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 937-8841

AMANDA BORHAM M.D.

Internal Medicine

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7794

DEVON AMANDA ORZANO APN

Nurse Practitioner (Acute Care)

1 ROBERT WOOD JOHNSON PL, 2 CORE - RM. 257
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 828-3000

GAMAL MOHAMED MD

Emergency Medicine

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 828-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Lafonte's NPI number?

The NPI number for Marc Lafonte is 1043535180. It was assigned to this individual provider in the NPPES registry on April 1, 2010.

Where is Marc Lafonte located?

Marc Lafonte practices at 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901. The listed phone number is (732) 828-3000.

What is Marc Lafonte's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Marc Lafonte enrolled in Medicare?

Yes. Marc Lafonte is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marc Lafonte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Lafonte reassigns Medicare benefits to 3 organizations: Rutgers Health-Rwj Neurosurgery Faculty (New Brunswick, NJ), Rutgers Health-Rwj Neurosurgery Faculty (Somerville, NJ) and Ccmma Nj LLC (Passaic, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Lafonte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Lafonte accept?

Health plans from CareSource list Marc Lafonte as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marc Lafonte affiliated with any hospitals?

According to CMS data, Marc Lafonte is affiliated with Morristown Medical Center and Saint Clare's Hospital/ Denville Campus.

When was this NPI record last updated?

The NPPES record for Marc Lafonte was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.