1. Home
  2. Directory
  3. New Jersey
  4. Hawthorne
  5. Nurse Practitioner
  6. NPI Profile

MS. ELLEN JO FASANARO NP
NPI 1760526610
Nurse Practitioner - Pediatrics in Hawthorne, NJ

Active since February 16, 2007PECOS Enrolled
1114 GOFFLE RD, HAWTHORNE, NJ 07506(973) 427-7676(973) 427-7476 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Ellen Jo Fasanaro Np NPPES

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

MS. ELLEN JO FASANARO NP (NPI 1760526610) is an individual pediatrics provider in Hawthorne, New Jersey, licensed in New Jersey (26NN08252000) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760526610
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. ELLEN JO FASANAROCredential: NP
Location Address1114 GOFFLE RDHawthorne, NJ 07506-2014
Mailing Address1114 Goffle RdHawthorne, NJ 07506-2014 · (973) 427-7676 · Fax (973) 427-7476
Phone(973) 427-7676
Fax(973) 427-7476
Sole ProprietorNo
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760526610 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 · 26NN08252000
1114 GOFFLE RD, Hawthorne, NJ 07506
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Ellen Jo Fasanaro Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Ellen Fasanaro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Physician Services PC
4.7 mi
Internal Medicine
15 ESSEX RD
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 833 clinicians in this Medicare group
NPI 1467815928 (201) 291-6086

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07506 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 5

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

LISA DRAUCIKAS D.O.
Family Medicine
1114 GOFFLE RD, SUITE 103
HAWTHORNE, NJ 07506
Passaic County (973) 423-1364
MS. MARY C BERGIN NP
Nurse Practitioner (Adult Health)
1114 GOFFLE RD
HAWTHORNE, NJ 07506
Passaic County (973) 427-7676
MRS. PHYLLIS E HUGHES NP
Nurse Practitioner (Adult Health)
1114 GOFFLE RD
HAWTHORNE, NJ 07506
Passaic County (973) 427-7676
DR. AVRIL D ANTHONY-WILSON M.D.
Family Medicine
1114 GOFFLE RD
HAWTHORNE, NJ 07506
Passaic County (973) 423-1364
VIRGINIA RIGGS APN
Nurse Practitioner (Adult Health)
1114 GOFFLE RD
HAWTHORNE, NJ 07506
Passaic County (973) 427-7676

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 Ellen Fasanaro's NPI number?

The NPI number for Ellen Fasanaro is 1760526610. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Ellen Fasanaro located?

Ellen Fasanaro practices at 1114 Goffle Rd, Hawthorne, NJ 07506. The listed phone number is (973) 427-7676.

What is Ellen Fasanaro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Ellen Fasanaro enrolled in Medicare?

Yes. Ellen Fasanaro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellen Fasanaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Fasanaro reassigns Medicare benefits to Valley Physician Services PC (Paramus, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellen Fasanaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ellen Fasanaro was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.