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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MICHELLE FANOUS, D.O.

Active

MRS. MICHELLE FANOUS, D.O. is a Emergency Medicine healthcare provider located in BRICK, New Jersey. NPI 1558598292 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · BRICK, NJ

Registration Details

NPI Number
1558598292
Provider Type
Individual
Gender
Female
NPI Issued
Jun 21, 2009 (17.127572356565 yrs)
Last Updated
Jun 24, 2025
Licenses
OT012883&OS015355 (PA)
25MB09538400 (NJ)
OS015355&OT012883 (PA)
25MB09538400 (NJ)

Practice Information

Address
425 JACK MARTIN BLVD
BRICK, NJ, 087247732
Browse NJ providers · Browse ZIP 08724
Phone
7323978630
Fax
2013655287
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in BRICK, NJ

Name Credential NPI
DR. DAVID PAUL NECKRITZ DO 1770583809
DR. SAMUEL C CARINO DO 1528069044
GARY L NORIS MD 1952342958
DR. GINA SUZANNE MANIAR D.O. 1952317570
JEFFREY G SCHLOGL M.D. 1184915191
DR. ARTI MAHENDRA PATEL M.D. 1477811289
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.