Charles M Stivala, DO
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Pomona, New Jersey
1295721447- Practice location
- 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102
- Phone
- 609-748-7089
- Fax
- 609-652-3460
- Last updated
- December 19, 2023
Charles M. Stivala is a Thoracic Surgery (Cardiothoracic Vascular Surgery) based in Pomona, NJ. Charles M. Stivala practices in Pomona, NJ and has the professional credentials of DO. The NPI Number for Charles M. Stivala is 1295721447 and holds a License No. OS012844 (PA). The current practice location address for Charles M. Stivala is 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102 and can be reached out via phone at 609-748-7089 and via fax at 609-652-3460.
Provider Profile Details
- NPI Number
- 1295721447
- Provider Name
- Charles M. Stivala
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102
- Phone Number
- 609-748-7089
- Fax Number
- 609-652-3460
- Primary Taxonomy
- Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 23, 2005
- Last Update Date
- December 19, 2023
- Certification Date
- December 19, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 W Jimmie Leeds RD
Pomona, NJ 08240-9102 - City
- Pomona
- State
- New Jersey
- Zip
- 08240-9102
- Phone Number
- 609-748-7089
- Fax Number
- 609-652-3460
Provider Business Mailing Address Details
- Address
- 3600 Route 66 Fl 3
Neptune, NJ 07753-2645 - City
- Neptune
- State
- NJ
- Zip
- 07753-2645
- Phone Number
- 732-807-0880
License Information
- License Number (1)
- OS012844
- License State (1)
- PA
- Taxonomy (1)
- Surgery · 208600000X
- License Number (2)
- 25MB10453400
- License State (2)
- NJ
- Taxonomy (2)
- Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers near Pomona, NJ
View all Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Pomona →- Chun W Choi, MDThoracic Surgery (Cardiothoracic Vascular Surgery) · NPI 1952638132
- Demetrios K Mavroidis, MDThoracic Surgery (Cardiothoracic Vascular Surgery) · NPI 1184602914
- Dr. Dana Mccloskey, MDThoracic Surgery (Cardiothoracic Vascular Surgery) · NPI 1245779602
- Howard I Axelrod, MDThoracic Surgery (Cardiothoracic Vascular Surgery) · NPI 1093705014
- James G Dralle, MDThoracic Surgery (Cardiothoracic Vascular Surgery) · NPI 1992795918
- Mauricio Garrido, MDThoracic Surgery (Cardiothoracic Vascular Surgery) · NPI 1215970207
Frequently Asked Questions
What is the NPI number of Charles M Stivala, DO?
The NPI number of Charles M Stivala, DO is 1295721447. It was assigned on September 23, 2005 and is currently active in the NPPES registry.
What is the specialty of Charles M Stivala, DO?
Charles M Stivala, DO is registered under the primary taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in PA under license number OS012844.
Where does Charles M Stivala, DO practice?
The practice location is 65 W Jimmie Leeds RD, Pomona, NJ 08240-9102. The office can be reached at 609-748-7089 (phone) or 609-652-3460 (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 1295721447 directly on the NPPES registry website.