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LAUREN AMANDA FONDE DO
NPI 1255183125
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 03, 2024PECOS Enrolled
4170 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6100 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2025, Apr 3, 2024 (2 updates tracked since 2024).

About Lauren Amanda Fonde Do NPPES

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

LAUREN AMANDA FONDE DO (NPI 1255183125) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255183125
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLAUREN AMANDA FONDECredential: DO
Location Address4170 CITY AVEPhiladelphia, PA 19131-1610
Mailing Address4170 City AvePhiladelphia, PA 19131-1610 · (215) 871-6100
Phone(215) 871-6100
Sole ProprietorNo
Enumeration DateApril 3, 2024
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1255183125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4170 CITY AVE, Philadelphia, PA 19131
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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)

Lauren Amanda Fonde Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. JAWAD AHMAD DO
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
COURTNEY HARTWELL
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
SHAINA YADAV
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
SIMONA KOGAN
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
ALICE VO
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
BRIANNA BECKER
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6380
DANIELA D MARINARO
Orthopaedic Surgery
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6700
ZUHRA NASSERY
Physician Assistant (Surgical)
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100

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 Lauren Fonde's NPI number?

The NPI number for Lauren Fonde is 1255183125. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Lauren Fonde located?

Lauren Fonde practices at 4170 City Ave, Philadelphia, PA 19131. The listed phone number is (215) 871-6100.

What is Lauren Fonde's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lauren Fonde enrolled in Medicare?

Yes. Lauren Fonde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Fonde was last updated on June 19, 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.