Fellowship Medical Group PA
NPI 1346131190ActiveOrganization· Internal Medicine· Basking Ridge, NJ
Internal Medicine in Basking Ridge, New Jersey, registered in NPPES in July 2025. The authorized official on file is Mark F. Mazzella, Chief Financial Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1346131190 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2025 |
| Last updated in NPPES | Jul 10, 2025 |
| Certified by provider | Jul 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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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