FONDERRE LIONEL MUSONGONG FNP
NPI 1790117182
Nurse Practitioner - Primary Care in Fair Lawn, NJ

Q: What is Fonderre Musongong's NPI number?

The NPI number for Fonderre Musongong is 1790117182. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Q: What is Fonderre Musongong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since August 07, 2013PECOS EnrolledAccepts Medicare Assignment

19-21 FAIR LAWN AVE STE 2C, FAIR LAWN, NJ 07410(201) 479-4596(201) 499-7938 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2025, Jul 10, 2023, May 30, 2023 and 2 more (5 updates tracked since 2023).

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About Fonderre Lionel Musongong Fnp NPPES

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

FONDERRE LIONEL MUSONGONG FNP (NPI 1790117182) is an individual primary care provider in Fair Lawn, New Jersey, licensed in New Jersey (26NJ01446000) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790117182

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameFONDERRE LIONEL MUSONGONGCredential: FNP

Location Address19-21 FAIR LAWN AVE STE 2CFair Lawn, NJ 07410-2337

Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300

Phone(201) 479-4596

Fax(201) 499-7938

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 7, 2013

Last NPPES UpdateJune 16, 20255 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1790117182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NJ · 26NJ01446000

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ01446000 (NJ)

19-21 FAIR LAWN AVE STE 2C, Fair Lawn, NJ 07410

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fonderre Lionel Musongong Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476912445

PECOS Enrollment IDI20230709000008

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

50 services43 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

28 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 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 2

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

MOBILE HEALTH CARE FAMILY CLINIC LLC

Nurse Practitioner (Primary Care)

19-21 FAIR LAWN AVE STE 2C
FAIR LAWN, NJ 07410

Bergen County (201) 479-4596

APPLAUSE HOME CARE, LLC

In Home Supportive Care

19-21 FAIR LAWN AVE STE 2C
FAIR LAWN, NJ 07410

Bergen County (201) 326-8051

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 Fonderre Musongong's NPI number?

The NPI number for Fonderre Musongong is 1790117182. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Where is Fonderre Musongong located?

Fonderre Musongong practices at 19-21 Fair Lawn Ave Ste 2C, Fair Lawn, NJ 07410. The listed phone number is (201) 479-4596.

What is Fonderre Musongong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Fonderre Musongong enrolled in Medicare?

Yes. Fonderre Musongong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Fonderre Musongong was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.