MRS. MICHELLE FANOUS D.O.
NPI 1558598292
Emergency Medicine in Brick, NJ

Active since June 21, 2009PECOS Enrolled
425 JACK MARTIN BLVD, BRICK, NJ 08724(732) 397-8630(201) 365-5287 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 24, 2025, Jun 16, 2025, Jun 13, 2025 (3 updates tracked since 2025).

About Mrs. Michelle Fanous D.o. NPPES

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

MRS. MICHELLE FANOUS D.O. (NPI 1558598292) is an individual emergency medicine provider in Brick, New Jersey, licensed in New Jersey (25MB09538400) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1558598292
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMRS. MICHELLE FANOUSCredential: D.O.
Location Address425 JACK MARTIN BLVDBrick, NJ 08724-7732
Mailing Address14 Alexis DrFarmingdale, NJ 07727-3648 · (732) 397-8630 · Fax (732) 397-8630
Fax(201) 365-5287
Sole ProprietorNo
Enumeration DateJune 21, 2009
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1558598292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NJ · 25MB09538400✔ Licensed in PA · OT012883&OS015355
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 25MB09538400 (NJ), OS015355&OT012883 (PA)
425 JACK MARTIN BLVD, Brick, NJ 08724

Other Names 1

Former Name (1)Michelle Sharobeem D.o.

Secondary Practice Location 1

Location 1Red Lion & Knights RoadsPhiladelphia, PA 19114 · Phone (215) 612-4000 · Fax (215) 949-7806

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Michelle Fanous D.o. 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 08724 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Counselor (Mental Health)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Radiology (Radiation Oncology)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Student in an Organized Health Care Education/Training Program
425 JACK MARTIN BLVD
BRICK, NJ 08724
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Physician Assistant
425 JACK MARTIN BLVD
BRICK, NJ 08724
Student in an Organized Health Care Education/Training Program
425 JACK MARTIN BLVD
BRICK, NJ 08724
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724

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 Michelle Fanous's NPI number?

The NPI number for Michelle Fanous is 1558598292. It was assigned to this individual provider in the NPPES registry on June 21, 2009. The provider is also known as Michelle Sharobeem D.O..

Where is Michelle Fanous located?

Michelle Fanous practices at 425 Jack Martin Blvd, Brick, NJ 08724. The listed phone number is (732) 397-8630.

What is Michelle Fanous's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michelle Fanous enrolled in Medicare?

Yes. Michelle Fanous is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Fanous was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.