Individual Healthcare Provider
Pamela Anne Marie Fazio, DO
Provider's NPPES record last updated: September 4, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1235623810
- Primary Specialty
- Nuclear Medicine — Nuclear Cardiology
- Practice Location
- Moorestown, New Jersey
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 6:43 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nuclear Medicine
Nuclear Cardiology
Allopathic & Osteopathic Physicians
A nuclear medicine physician who specializes in nuclear cardiology.
Taxonomy code 207UN0901X Internal Medicine
Allopathic & Osteopathic Physicians
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Taxonomy code 207R00000XStudent in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Nuclear Medicine (New Jersey)
- 25MB11110400
- Internal Medicine (New Jersey)
- 25MB11110400
- Student in an Organized Health Care Education/Training Program (Pennsylvania)
- OT018437
Practice Locations
Practice Location
728 Marne Hwy Ste 200a
Moorestown, New Jersey 08057-3128
Phone: (856) 291-8855
Additional Practice Location
10800 Knights Rd
Philadelphia, Pennsylvania 19114-4200
Phone: (215) 612-5161
Additional Practice Location
6500 K Johnson Blvd Ste 100c
Bordentown, New Jersey 08505-2282
Phone: (609) 759-9660
Additional Practice Location
1 Sheffield Dr Ste 201
Columbus, New Jersey 08022-9506
Phone: (856) 291-8855
Fax: (609) 444-5526
Additional Practice Location
128 Route 70 Ste 1b
Medford, New Jersey 08055-2371
Phone: (856) 291-8855
Record Information
- Enumeration Date
- June 18, 2018
- Provider's NPPES Record Last Updated
- September 4, 2024
- Certification Date
- September 4, 2024
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue