JONATHAN L FELLUS M.D.
NPI 1053309195
Psychiatry & Neurology - Neurology in Randolph, NJ

Q: What is Jonathan Fellus's NPI number?

The NPI number for Jonathan Fellus is 1053309195. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Q: What is Jonathan Fellus's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Fellus was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 October 12, 2005PECOS Enrolled

121 CENTER GROVE RD STE 16, RANDOLPH, NJ 07869(973) 787-7402(973) 860-2205 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2025, Nov 22, 2023 (2 updates tracked since 2023).

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About Jonathan L Fellus M.d. NPPES

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

JONATHAN L FELLUS M.D. (NPI 1053309195) is an individual neurology provider in Randolph, New Jersey, licensed in New Jersey (25MA06616400) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1992).

NPPES Registry Identity

NPI1053309195

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameJONATHAN L FELLUSCredential: M.D.

Location Address121 CENTER GROVE RD STE 16Randolph, NJ 07869-4453

Mailing Address131 Madison Ave Fl 3Morristown, NJ 07960-7360 · (973) 787-7402 · Fax (973) 944-2333

Phone(973) 787-7402

Fax(973) 860-2205

Sole ProprietorYes

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1992

Enumeration DateOctober 12, 2005

Last NPPES UpdateJune 13, 20252 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1053309195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NJ · 25MA06616400

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

121 CENTER GROVE RD STE 16, Randolph, NJ 07869

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan L Fellus M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446220040

PECOS Enrollment IDI20040730000108

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07869 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jonathan Fellus's NPI number?

The NPI number for Jonathan Fellus is 1053309195. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Jonathan Fellus located?

Jonathan Fellus practices at 121 Center Grove Rd Ste 16, Randolph, NJ 07869. The listed phone number is (973) 787-7402.

What is Jonathan Fellus's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jonathan Fellus enrolled in Medicare?

Yes. Jonathan Fellus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Fellus was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.