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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROF. LOVERTON FIDEL M.A., M.S., M.B.A.
NPI 1063877686
Counselor in East Brunswick, NJ

Active since December 24, 2015PECOS EnrolledAccepts Medicare Assignment
6 CORNWALL CT STE B, EAST BRUNSWICK, NJ 08816(732) 955-4141 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Dec 24, 2015 (2 updates tracked since 2015).

About Prof. Loverton Fidel M.a., M.s., M.b.a. NPPES

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

PROF. LOVERTON FIDEL M.A., M.S., M.B.A. (NPI 1063877686) is an individual counselor in East Brunswick, New Jersey, licensed in New Jersey (37PC00596700) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Matawan, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063877686
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NamePROF. LOVERTON FIDELCredential: M.A., M.S., M.B.A.
Location Address6 CORNWALL CT STE BEast Brunswick, NJ 08816-3347
Mailing Address1430 Route 27North Brunswick, NJ 08902-1538 · (732) 247-6263
Phone(732) 955-4141
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 24, 2015
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1063877686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NJ · 37PC00596700
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
6 CORNWALL CT STE B, East Brunswick, NJ 08816
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Secondary Practice Location 1

Location 1169 Main St Ste 2Matawan, NJ 07747-4105 · Phone (732) 247-6263

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

Prof. Loverton Fidel M.a., M.s., M.b.a. 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 ID8921593401
PECOS Enrollment IDI20251222002614
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 Loverton Fidel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vimax LLC
23 mi
Mental Health (Including Community Mental Health Center)
6 CORNWALL ST.
Colts Neck, NJ 07722
  • Reassigned Medicare billing, New Jersey enrollment
  • 36 clinicians in this Medicare group
NPI 1922440627 (732) 616-8090

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

Other Providers at the Same Location NPPES 15

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

MRS. TATIANA BOLOTINA-ROZMAN LSW
Counselor (Mental Health)
6 CORNWALL CT STE B
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 955-4141
MARIELLE METH LCSW
Social Worker (Clinical)
6 CORNWALL CT STE B
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 955-4141
DIANNA BLANCO LPC
Counselor (Professional)
6 CORNWALL CT STE B
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 955-4141
GIULIA A. BAYUK LSW
Social Worker
6 CORNWALL CT STE B
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 955-4141
KENDRA GAINEY MA
Marriage & Family Therapist
6 CORNWALL CT STE B
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 955-4141
MS. SAVANNAH LEE KANG MA, NCC, LPC
Counselor (Professional)
6 CORNWALL CT STE B
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 955-4141
JACQULEAN ANN OLIVO LCSW
Social Worker (Clinical)
6 CORNWALL CT STE B
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 955-4141
DR. PETER AKO PMHNP-BC
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
6 CORNWALL CT STE B
E BRUNSWICK, NJ 08816
Middlesex County (732) 955-4141

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 Loverton Fidel's NPI number?

The NPI number for Loverton Fidel is 1063877686. It was assigned to this individual provider in the NPPES registry on December 24, 2015.

Where is Loverton Fidel located?

Loverton Fidel practices at 6 Cornwall Ct Ste B, East Brunswick, NJ 08816. The listed phone number is (732) 955-4141.

What is Loverton Fidel's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Loverton Fidel enrolled in Medicare?

Yes. Loverton Fidel 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 organization bills Medicare for Loverton Fidel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loverton Fidel reassigns Medicare benefits to Vimax LLC (Colts Neck, NJ). 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 Loverton Fidel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Loverton Fidel was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.