Active NPIIndividual provider

Charles P Fernicola, MD

Urology in Manahawkin, New Jersey

NPI Number1063472694
Practice location
1145 Beacon Ave, Manahawkin, NJ 08050-2471
Fax
609-597-8198
Last updated
March 14, 2014

Charles P Fernicola is an Urology based in Manahawkin, NJ. Charles P Fernicola practices in Manahawkin, NJ and has the professional credentials of MD. The NPI Number for Charles P Fernicola is 1063472694 and holds a License No. 25MA04460500 (NJ). The current practice location address for Charles P Fernicola is 1145 Beacon Ave, Manahawkin, NJ 08050-2471 and can be reached out via phone at 609-597-1991 and via fax at 609-597-8198.

Provider Profile Details

NPI Number
1063472694
Provider Name
Charles P Fernicola
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1145 Beacon Ave, Manahawkin, NJ 08050-2471
Phone Number
609-597-1991
Fax Number
609-597-8198
Primary Taxonomy
Urology · 208800000X
Sole Proprietor
No
Provider Enumeration Date
March 27, 2006
Last Update Date
March 14, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1145 Beacon Ave
Manahawkin, NJ 08050-2471
Zip
08050-2471
Phone Number
609-597-1991
Fax Number
609-597-8198
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
1145 Beacon Ave
Manahawkin, NJ 08050-2471
City
Manahawkin
State
NJ
Zip
08050-2471
Phone Number
609-597-1991
Fax Number
609-597-8198

License Information

License Number
25MA04460500
License State
NJ
Taxonomy
Urology · 208800000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Charles P Fernicola, MD?

The NPI number of Charles P Fernicola, MD is 1063472694. It was assigned on March 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Charles P Fernicola, MD?

Charles P Fernicola, MD is registered under the primary taxonomy Urology (code 208800000X), licensed in NJ under license number 25MA04460500.

Where does Charles P Fernicola, MD practice?

The practice location is 1145 Beacon Ave, Manahawkin, NJ 08050-2471. The office can be reached at 609-597-1991 (phone) or 609-597-8198 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063472694 directly on the NPPES registry website.

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