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

Mrs. Michelle Fanous, DO

Individual provider Emergency Medicine Physician · NPI 1558598292

Mrs. Michelle Fanous, DO is an Emergency Medicine Physician in Brick, New Jersey. Works from 2 locations. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2009
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone: (732) 397-8630
Fax: (201) 365-5287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Red Lion & Knights Roads, Philadelphia, PA 19114 — (215) 612-4000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MB09538400 (NJ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence OT012883&OS015355 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25MB09538400 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS015355&OT012883 (PA)

Record details

NPI number1558598292
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2009
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

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