Active NPIIndividual provider

Charles W Concodora, MD

Urology, Pediatric Urology in Eatontown, New Jersey

NPI Number1942511373
Practice location
200 Wyckoff Road, Suite 4500, Eatontown, NJ 07724
Fax
—
Last updated
April 11, 2024

Charles William Concodora is an Urology, Pediatric Urology based in Eatontown, NJ. Charles William Concodora practices in Eatontown, NJ and has the professional credentials of MD. The NPI Number for Charles William Concodora is 1942511373 and holds a License No. 25MA10242700 (NJ). The current practice location address for Charles William Concodora is 200 Wyckoff Road, Suite 4500, Eatontown, NJ 07724 and can be reached out via phone at 732-235-7960.

Provider Profile Details

NPI Number
1942511373
Provider Name
Charles William Concodora
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Wyckoff Road, Suite 4500, Eatontown, NJ 07724
Phone Number
732-235-7960
Primary Taxonomy
Urology, Pediatric Urology · 2088P0231X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2010
Last Update Date
April 11, 2024
Certification Date
April 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Wyckoff Road
Suite 4500
Eatontown, NJ 07724
Zip
07724
Phone Number
732-235-7960
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
200 Wyckoff Road
Suite 4500
Eatontown, NJ 07724
City
Eatontown
State
NJ
Zip
07724
Phone Number
732-235-7960

License Information

License Number (1)
25MA10242700
License State (1)
NJ
Taxonomy (1)
Urology · 208800000X
License Number (2)
25MA10242700
License State (2)
NJ
Taxonomy (2)
Urology, Pediatric Urology · 2088P0231X · 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 W Concodora, MD?

The NPI number of Charles W Concodora, MD is 1942511373. It was assigned on June 30, 2010 and is currently active in the NPPES registry.

What is the specialty of Charles W Concodora, MD?

Charles W Concodora, MD is registered under the primary taxonomy Urology, Pediatric Urology (code 2088P0231X), licensed in NJ under license number 25MA10242700.

Where does Charles W Concodora, MD practice?

The practice location is 200 Wyckoff Road, Suite 4500, Eatontown, NJ 07724. The office can be reached at 732-235-7960 (phone).

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 1942511373 directly on the NPPES registry website.

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