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DR. MAMTA FULORIA MD
NPI 1063496149
Pediatrics - Neonatal-Perinatal Medicine in Mountain Lakes, NJ

Active since December 02, 2005PECOS Enrolled
100 POLLARD RD, MOUNTAIN LAKES, NJ 07046(732) 318-8753 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mamta Fuloria Md NPPES

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

DR. MAMTA FULORIA MD (NPI 1063496149) is an individual neonatal-perinatal medicine provider in Mountain Lakes, New Jersey, licensed in Georgia (103790) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1063496149
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MAMTA FULORIACredential: MD
Location Address100 POLLARD RDMountain Lakes, NJ 07046-1652
Mailing Address100 Pollard RdMountain Lakes, NJ 07046-1652 · (732) 318-8753
Phone(732) 318-8753
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 2, 2005
Last NPPES UpdateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1063496149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in GA · 103790✔ Licensed in NC · 9801647
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
100 POLLARD RD, Mountain Lakes, NJ 07046
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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)

Dr. Mamta Fuloria Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991848269
PECOS Enrollment IDI20250925000335
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.

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 Mamta Fuloria's NPI number?

The NPI number for Mamta Fuloria is 1063496149. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Mamta Fuloria located?

Mamta Fuloria practices at 100 Pollard Rd, Mountain Lakes, NJ 07046. The listed phone number is (732) 318-8753.

What is Mamta Fuloria's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mamta Fuloria enrolled in Medicare?

Yes. Mamta Fuloria is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mamta Fuloria was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.