DR. JUANITA NING FONCHAM MD
NPI 1831652312
Student in an Organized Health Care Education/Training Program in Hackensack, NJ

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
20 PROSPECT AVE STE 801, HACKENSACK, NJ 07601(551) 996-2000 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2023, Aug 15, 2019, Apr 10, 2019 (3 updates tracked since 2019).

About Dr. Juanita Ning Foncham Md NPPES

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

DR. JUANITA NING FONCHAM MD (NPI 1831652312) is an individual student in an organized health care education/training program in Hackensack, New Jersey and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831652312
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JUANITA NING FONCHAMCredential: MD
Location Address20 PROSPECT AVE STE 801Hackensack, NJ 07601-1963
Mailing Address20 Prospect AveHackensack, NJ 07601-1997 · (806) 789-5266
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1831652312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
20 PROSPECT AVE STE 801, Hackensack, NJ 07601

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Juanita Ning Foncham Md 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 ID3577092881
PECOS Enrollment IDI20250130002354
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 Juanita Foncham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
15 ESSEX RD
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 833 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
20 PROSPECT AVE STE 801
HACKENSACK, NJ 07601

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 Juanita Foncham's NPI number?

The NPI number for Juanita Foncham is 1831652312. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Juanita Foncham located?

Juanita Foncham practices at 20 Prospect Ave Ste 801, Hackensack, NJ 07601. The listed phone number is (551) 996-2000.

What is Juanita Foncham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Juanita Foncham enrolled in Medicare?

Yes. Juanita Foncham 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.

Which organization bills Medicare for Juanita Foncham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juanita Foncham 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 Juanita Foncham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Juanita Foncham affiliated with any hospitals?

According to CMS data, Juanita Foncham is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Juanita Foncham was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.