Fonderre Lionel Musongong, FNP
NPI 1790117182ActiveIndividual· Nurse Practitioner, Primary Care· Fair Lawn, NJ
Nurse Practitioner, Primary Care (FNP) in Fair Lawn, New Jersey, licensed in NJ, with an NPI issued in August 2013. Their prescriptions cost Medicare Part D more than their services did: $19,383 for 208 claims, against $8,511 paid for services in 2024.
Overview
| NPI | 1790117182 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Aug 7, 2013 |
| 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 | 26NJ01446000 | NJ |
| Nurse Practitioner, Family | 363LF0000X | 26NJ01446000 | NJ |
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 Practitioner - Nurse Practitioner (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 66 |
|---|---|
| Services billed | 159 across 31 procedure codes |
| Paid by Medicare | $8,511 |
Part D prescriptions in 2024
| Prescriptions (claims) | 208 · 290 30-day fills |
|---|---|
| Patients | 80 |
| Total drug cost | $19,383 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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