Fellowship Village Inc.
NPI 1295685139ActiveOrganization· Physical Therapist· Basking Ridge, NJ
Physical Therapist in Basking Ridge, New Jersey, registered in NPPES in January 2026. The authorized official on file is Mark Mazzella, Chief Financial Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295685139 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2026 |
| Last updated in NPPES | Jan 30, 2026 |
| Certified by provider | Jan 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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