Charles P Fernicola Md Pc

LBN: Charles P Fernicola Md Pc
Charles P Fernicola Md Pc is an health care organization with primary practice located at 1145 Beacon Ave , Manahawkin NJ 08050-2471. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Charles P Fernicola Md Pc can be contacted via phone (609) 597-1991, or through Kennedy, Michele M via phone (609) 597-1991.

Contact Information

Primary practice address
1145 Beacon Ave Manahawkin NJ 08050-2471
Phone: (609) 597-1991
Fax: (609) 597-8198
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Michele M
Phone: (609) 597-1991

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1003964628
LBN Legal business name Charles P Fernicola Md Pc
DBA Doing business as
Authorized official Kennedy, Michele M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Jun 5th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003964628 NPPES
New Jersey MEDICAID 3131602

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