Mobile Health Care Family Clinic LLC
NPI 1205662228ActiveOrganization· Nurse Practitioner, Primary Care· Fair Lawn, NJ
Nurse Practitioner, Primary Care in Fair Lawn, New Jersey, registered in NPPES in September 2024. The authorized official on file is Fonderre L. Musongong, FNP, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205662228 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 9, 2024 |
| Last updated in NPPES | Jun 16, 2025 |
| Certified by provider | Jun 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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