IndividualActive
Fatu Bangura
NPI 1912572934 · Contractor · Irvington, NJ
Provider details
- NPI number
- 1912572934
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Supports Brokerage Agency251X00000X
Agencies
- Point of Service305S00000X
Managed Care Organizations
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
65-67 Melville Place
Irvington, NJ 07111
Phone: (862) 777-3526
Street-level locationGet directions
Mailing address
65-67 Melville Place
Irvington, NJ 07111
Registry dates
- Enumerated
- 2021-05-21
- Last updated
- 2021-05-21
- Certified
- 2021-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.