Charles P Fernicola MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CHARLES P FERNICOLA MD PC

Practice address

1145 Beacon Ave
Manahawkin, NJ 08050-2471

Phone

(609) 597-1991

Fax

(609) 597-8198

NPI assigned

Jan 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Michele M Kennedy

Title

Office Manager

Phone

(609) 597-1991

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1003964628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BEACON AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502471",
            "telephone_number": "609-597-1991",
            "fax_number": "609-597-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BEACON AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502471",
            "telephone_number": "609-597-1991",
            "fax_number": "609-597-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES P FERNICOLA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-597-1991",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3131602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donnah Marie Celentano, FNP-C
• Center for Change
• Melissa Cerceo
• Yashwant Chahal, D.O.
• Bong Chang, MD
• Peter L Chawner, PT
• Sherill Chernesky, MPT
• Timmy Cheung, D.O.
• Christian Counseling & Therapy Associates, LLC
• James D Christopher, NP

• Urology Physician in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.