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MICHELE E FANTASIA MD
NPI 1447226261
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in New Brunswick, NJ

Active since February 23, 2006PECOS Enrolled
200 SOMERSET ST, NEW BRUNSWICK, NJ 08901(732) 258-7000(908) 301-5456 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michele E Fantasia Md NPPES

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

MICHELE E FANTASIA MD (NPI 1447226261) is an individual pediatric rehabilitation medicine provider in New Brunswick, New Jersey, licensed in New Jersey (25MA06336800) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447226261
Entity TypeIndividualFemale
Primary Taxonomy2081P0010X
Provider Legal NameMICHELE E FANTASIACredential: MD
Location Address200 SOMERSET STNew Brunswick, NJ 08901-1942
Mailing Address150 New Providence RdMountainside, NJ 07092-2590 · (908) 301-5404 · Fax (908) 301-5456
Phone(732) 258-7000
Fax(908) 301-5456
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateAugust 24, 2010
✔ NPI 1447226261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
License✔ Licensed in NJ · 25MA06336800
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
200 SOMERSET ST, New Brunswick, NJ 08901
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Other Identifiers 17

Other221487148-016NJ · Qualcare Inc
Other2300074NJ · Aetna Healthcare
Other0125682NJ · Cigna Healthcare
Other2K3684NJ · Healthnet
Other221487148NJ · United Healthcare
OtherS51B01NJ · Empire
Other221487148NJ · Multiplan
Other01000313201NJ · Americhoice Nj
Medicare UPINH12113NJ
Other1096732NJ · Horizon Nj Health
Other2119078000NJ · Amerihealth
Other221487148NJ · Great West
Other221487148NJ · Horizon Bcbs Nj
Other54027NJ · Amerigroup
Other221487148NJ · Devon Healthcare
Other24225NJ · University Health Plan
OtherP2122543NJ · Oxford

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michele E Fantasia Md 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.

LAUREN HORTON
Nurse Practitioner (Pediatrics)
200 SOMERSET ST
NEW BRUNSWICK, NJ 08901
Middlesex County (888) 244-5373
MRS. NICOLE ELIZABETH BAISLEY MSPT
Physical Therapist
200 SOMERSET ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 258-7403
DAFFNEY D JAMES MSOT
Occupational Therapist
200 SOMERSET ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 258-7000
MRS. JAN MARSHALL M.S. R.D.
Dietitian, Registered
200 SOMERSET ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 258-7000
DANIELA MANOLE RAABE APN
Nurse Practitioner (Pediatrics)
200 SOMERSET ST
NEW BRUNSWICK, NJ 08901
Middlesex County (646) 226-2137
MISS KRISTIN ANN JUHASZ BS, MS, PT
Physical Therapist
200 SOMERSET ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 258-7000
GINA WATKINS
Physician Assistant
200 SOMERSET ST
NEW BRUNSWICK, NJ 08901
Middlesex County (888) 244-5373
MS. TATYANA ELLESEFF MA CCC-SLP
Speech-Language Pathologist
200 SOMERSET ST
NEW BRUNSWICK, NJ 08901
Middlesex County (917) 916-7487

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 Michele Fantasia's NPI number?

The NPI number for Michele Fantasia is 1447226261. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Michele Fantasia located?

Michele Fantasia practices at 200 Somerset St, New Brunswick, NJ 08901. The listed phone number is (732) 258-7000.

What is Michele Fantasia's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Michele Fantasia enrolled in Medicare?

Yes. Michele Fantasia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michele Fantasia was last updated on August 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.