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MR. DANIEL ROBERT FAWCETT NP STUDENT
NPI 1285416578
Nurse Practitioner - Psychiatric/Mental Health in South Orange, NJ

Active since October 20, 2023PECOS EnrolledAccepts Medicare Assignment
400 S ORANGE AVE, SOUTH ORANGE, NJ 07079(973) 761-9000 Get Directions Write a Review

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

About Mr. Daniel Robert Fawcett Np Student NPPES

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

MR. DANIEL ROBERT FAWCETT NP STUDENT (NPI 1285416578) is an individual psychiatric/mental health provider in South Orange, New Jersey, licensed in New York (F407438-01) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1285416578
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. DANIEL ROBERT FAWCETTCredential: NP STUDENT
Location Address400 S ORANGE AVESouth Orange, NJ 07079-2697
Mailing Address1756 Richmond AveStaten Island, NY 10314-3902 · (718) 477-5670
Phone(973) 761-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 20, 2023
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1285416578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F407438-01
400 S ORANGE AVE, South Orange, NJ 07079
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Daniel Robert Fawcett Np Student 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 ID3971091414
PECOS Enrollment IDI20251024002676
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 07079 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

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.

ERIN MICHELLE TYLER
Student in an Organized Health Care Education/Training Program
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-9000
JINU ELIZABETH PAULOSE
Student in an Organized Health Care Education/Training Program
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-9000
ADRIANA ESTEFANIA DE LEON
Student in an Organized Health Care Education/Training Program
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-9000
CHRISTINA CONTI CCC-SLP
Speech-Language Pathologist
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (201) 673-8486
KHADIJAH FRIDAY
Student in an Organized Health Care Education/Training Program
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-9000
ADRIANNA PILEGGI
Student in an Organized Health Care Education/Training Program
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 761-9000
MRS. MARY E MURRAY ATC
Specialist/Technologist (Athletic Trainer)
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 275-2220
DR. MICHAEL F LA FOUNTAINE EDD, ATC, FACSM
Specialist/Technologist (Athletic Trainer)
400 S ORANGE AVE
SOUTH ORANGE, NJ 07079
Essex County (973) 275-2918

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 Daniel Fawcett's NPI number?

The NPI number for Daniel Fawcett is 1285416578. It was assigned to this individual provider in the NPPES registry on October 20, 2023.

Where is Daniel Fawcett located?

Daniel Fawcett practices at 400 S Orange Ave, South Orange, NJ 07079. The listed phone number is (973) 761-9000.

What is Daniel Fawcett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Daniel Fawcett enrolled in Medicare?

Yes. Daniel Fawcett 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.

When was this NPI record last updated?

The NPPES record for Daniel Fawcett was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.