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

Q: 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.

Q: What is Mamta Fuloria's specialty?

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

Q: 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 19 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 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: November 01, 2026.

On this page

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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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Mamta Fuloria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emory Medical Care Foundation Inc

735 mi

Internal Medicine

80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303

Reassigned Medicare billing, Georgia enrollment
2,681 clinicians in this Medicare group

NPI 1063452381 (404) 778-7717

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

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.

Which organization bills Medicare for Mamta Fuloria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamta Fuloria reassigns Medicare benefits to Emory Medical Care Foundation Inc (Atlanta, GA). The 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 Mamta Fuloria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mamta Fuloria accept?

Health plans from Oscar Health list Mamta Fuloria 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.

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 19 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.