Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fonderre Lionel Musongong, FNP

Individual provider Family Nurse Practitioner · NPI 1790117182

Fonderre Lionel Musongong, FNP is a Nurse Practitioner in Fair Lawn, New Jersey. Qualified in 2022, 4 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

19-21 Fair Lawn Ave Ste 2C
Fair Lawn, NJ 07410-2337
Phone: (201) 479-4596
Fax: (201) 499-7938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 26NJ01446000 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ01446000 (NJ)

Record details

NPI number1790117182
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 7, 2013
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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