1. Home
  2. Directory
  3. New Jersey
  4. Newark
  5. Pediatrics
  6. NPI Profile

DR. ELSIE JAZMIN FOGLIO D.O.
NPI 1801183926
Pediatrics - Pediatric Gastroenterology in Newark, NJ

Active since July 10, 2011PECOS Enrolled
201 LYONS AVE, L BUILDING, 5TH FLOOR, NEWARK, NJ 70112(973) 926-7280(926) 705-3146 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 13, 2017 (3 updates tracked since 2017).

About Dr. Elsie Jazmin Foglio D.o. NPPES

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

DR. ELSIE JAZMIN FOGLIO D.O. (NPI 1801183926) is an individual pediatric gastroenterology provider in Newark, New Jersey, licensed in New Jersey (25MB09909300) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Orange.

NPPES Registry Identity

NPI1801183926
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. ELSIE JAZMIN FOGLIOCredential: D.O.
Location Address201 LYONS AVE, L BUILDING, 5TH FLOORNewark, NJ 70112
Mailing Address201 Lyons Ave, L Building, 5th FloorNewark, NJ 07112-2027 · (973) 926-7280
Phone(973) 926-7280
Fax(926) 705-3146
Sole ProprietorNo
Enumeration DateJuly 10, 2011
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1801183926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in NJ · 25MB09909300
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
201 LYONS AVE, Newark, NJ 70112
Open in Google Maps ↗

Secondary Practice Location 1

Location 1375 Mount Pleasant Ave Ste 105West Orange, NJ 07052-2751 · Phone (973) 322-6900 · Fax (973) 322-6999

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elsie Jazmin Foglio 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elsie Foglio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group PC
3.5 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Rwjbh Observation Associates LLC
6.0 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123

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 70112 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

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 Elsie Foglio's NPI number?

The NPI number for Elsie Foglio is 1801183926. It was assigned to this individual provider in the NPPES registry on July 10, 2011.

Where is Elsie Foglio located?

Elsie Foglio practices at 201 Lyons Ave L Building, 5th Floor, Newark, NJ 70112. The listed phone number is (973) 926-7280.

What is Elsie Foglio's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Elsie Foglio enrolled in Medicare?

Yes. Elsie Foglio is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elsie Foglio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elsie Foglio reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Rwjbh Observation Associates LLC (Livingston, NJ). Each 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 Elsie Foglio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elsie Foglio accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Elsie Foglio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elsie Foglio was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.