KATHLEEN A. FUMANDO (PA-C) – Surgical Physician Assistant, NPI 1285899534

KATHLEEN A. FUMANDO (PA-C) is a healthcare provider. based in Ridgewood, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00195200 (NJ). The NPI Number for KATHLEEN A. FUMANDO (PA-C) is 1285899534

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN A. FUMANDO (PA-C)
NPI
1285899534
Phone
(732) 222-8866
Address
1200 E RIDGEWOOD AVE
Enumeration Date
25 July 2008
Last Update Date
6 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
8820157241
Group Practice PAC ID
9133032519
Professional Enrollment ID
I20081030000090
Address ID
NJ076011915HA30XXXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for KATHLEEN A. FUMANDO (PA-C)

  • 1200, East Ridgewood Avenue, Southeast Ridgewood, Ridgewood, Bergen County, New Jersey, 07450, United States

    STE 200

    RIDGEWOOD, NJ 074503937

    Phone: (732) 222-8866

    Type: Mailing

  • 108 Avenue Of Two Rivers

    Rumson, NJ 077601802

    Phone: (732) 263-7903

    Fax: (732) 263-7905

    Type: Location

  • 3600 ROUTE 66

    FL 3

    NEPTUNE, NJ 077532645

    Phone: (732) 807-0879

    Fax: (201) 751-1680

    Type: Mailing

  • Ocean Medical Center, 425, Jack Martin Boulevard, Laurelton Gardens, Brick Township, Ocean County, New Jersey, 08724, United States

    BRICK, NJ 087247732

    Phone: (732) 840-2200

    Fax: (732) 922-6026

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $1,838.

Total Amount is formed as General ($1,838) + Research ($0) + Ownership ($0) = $1,838.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Medtronic, Inc. ($1,702).

Total Amount

$1,838

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,838

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$1,702
Axonics, Inc.$136
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081030000090IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
57250Repair of herniated rectum into vaginal wall6666$0
57423Repair of vaginal defect using an endoscope6161$0
57425Surgical repair of vaginal defect using an endoscope6161$0
58542Partial removal of uterus, tubes, and/or ovaries with retention of cervix using an endoscope, 250.0 g or less4040$0
57288Creation of sling around urethra in female to control leakage2525$0
View full utilization report →

Insurance plans in this area (ZIP 07450)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133032519View full group profile
NameSpecialtyState
-NY
-NJ
Geriatric Medicine, Internal MedicineNJ
Nurse PractitionerNJ
Physician AssistantNJ
Vascular SurgeryNY
Physician AssistantNJ
Physician AssistantNY
Orthopedic SurgeryNJ
General SurgeryNJ

Reviews

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Frequently asked questions

How do payers reference KATHLEEN A. FUMANDO (PA-C)?
For KATHLEEN A. FUMANDO (PA-C), use NPI 1285899534 as the unique 10-digit identifier.
Would KATHLEEN A. FUMANDO (PA-C) appear as active to a payer?
You can treat KATHLEEN A. FUMANDO (PA-C) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KATHLEEN A. FUMANDO (PA-C)'s focus?
For KATHLEEN A. FUMANDO (PA-C), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KATHLEEN A. FUMANDO (PA-C) located near Ridgewood?
KATHLEEN A. FUMANDO (PA-C) currently maps to Ridgewood, New Jersey in this extract.
Does KATHLEEN A. FUMANDO (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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