1. Home
  2. Directory
  3. New Jersey
  4. Warren
  5. Dentist
  6. NPI Profile

MIRIAM KEROLUS FANOUSE
NPI 1356761456
Dentist in Warren, NJ

Active since April 16, 2014
34 MOUNTAIN BLVD, WARREN, NJ 07059(347) 307-1381 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2025, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Miriam Kerolus Fanouse NPPES

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

MIRIAM KEROLUS FANOUSE (NPI 1356761456) is an individual dentist in Warren, New Jersey, licensed in New Jersey (22DI02942100) and active in the NPI registry since April 2014. She maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1356761456
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMIRIAM KEROLUS FANOUSE
Location Address34 MOUNTAIN BLVDWarren, NJ 07059-2640
Mailing Address46 Bartlett AveStaten Island, NY 10312-2462 · (347) 307-1381
Phone(347) 307-1381
Sole ProprietorNo
Enumeration DateApril 16, 2014
Last NPPES UpdateMarch 5, 20254 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1356761456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NJ · 22DI02942100
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
34 MOUNTAIN BLVD, Warren, NJ 07059
Open in Google Maps ↗

Secondary Practice Location 1

Location 14802 10th AveBrooklyn, NY 11219-2916 · Phone (718) 283-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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. ELISABETH ROGERS D.O.
Pediatrics
34 MOUNTAIN BLVD
WARREN, NJ 07059
Somerset County (908) 769-0100
BETH SINGER MD
Pediatrics
34 MOUNTAIN BLVD
WARREN, NJ 07059
Somerset County (908) 769-0100
DINA LOMBARDO P.T.
Physical Therapist
34 MOUNTAIN BLVD
WARREN, NJ 07059
Somerset County (908) 222-0515
SHUJING DAI
Acupuncturist
34 MOUNTAIN BLVD, BLDG A, SUITE 110
WARREN, NJ 07059
Somerset County (908) 210-7977
KELLI SHORT DPT
Physical Therapist
34 MOUNTAIN BLVD
WARREN, NJ 07059
Somerset County (908) 222-0516
DR. JYOTI SINHA M.D.
Pediatrics (Pediatric Gastroenterology)
34 MOUNTAIN BLVD
WARREN, NJ 07059
Somerset County (973) 926-0100
DR. CAROLE FILOWITZ LYTLE M.D.
Internal Medicine
34 MOUNTAIN BLVD
WARREN, NJ 07059
Somerset County (908) 769-0100
JORDEN ARIELLE NOLAN ATC
Specialist/Technologist (Athletic Trainer)
34 MOUNTAIN BLVD
WARREN, NJ 07059
Somerset County (908) 222-0515

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 Miriam Fanouse's NPI number?

The NPI number for Miriam Fanouse is 1356761456. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Miriam Fanouse located?

Miriam Fanouse practices at 34 Mountain Blvd, Warren, NJ 07059. The listed phone number is (347) 307-1381.

What is Miriam Fanouse's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Miriam Fanouse accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Miriam Fanouse 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 Miriam Fanouse was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.