LAUREN THERESA FAHY
NPI 1477151850
Nurse Practitioner - Pediatrics in Elizabeth, NJ

Active since October 16, 2020PECOS Enrolled
435 ELMORA AVE, ELIZABETH, NJ 07208(908) 659-9200 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lauren Theresa Fahy NPPES

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

LAUREN THERESA FAHY (NPI 1477151850) is an individual pediatrics provider in Elizabeth, New Jersey, licensed in New Jersey (26NJ01066200) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477151850
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLAUREN THERESA FAHY
Location Address435 ELMORA AVEElizabeth, NJ 07208-1576
Mailing Address6 Aspen CtHamilton, NJ 08619-4601 · (732) 771-6777
Sole ProprietorNo
Enumeration DateOctober 16, 2020
NPPES CertifiedOctober 16, 2020
NPI 1477151850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NJ · 26NJ01066200
435 ELMORA AVE, Elizabeth, NJ 07208

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 Theresa Fahy 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07208 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 3

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

Nurse Practitioner
435 ELMORA AVE
ELIZABETH, NJ 07208
Pediatrics
435 ELMORA AVE
ELIZABETH, NJ 07208
Pediatrics (Adolescent Medicine)
435 ELMORA AVE
ELIZABETH, NJ 07208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477151850, enumerated as an "individual" on October 16, 2020.

The provider is located at 435 ELMORA AVE ELIZABETH, NJ 07208 and the phone number is (908) 659-9200.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.