Individual provider Active NPI

Gregory Gerard Fedorcik, MD

  • Orthopaedic Hand Surgery Physician
  • Eatontown, NJ
National Provider Identifier
1164499786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
25MA07770000 Issued in NJ
Practice address
2 Industrial Way W
Eatontown, NJ 07724
Phone
(732) 542-4477
Fax
(732) 935-0355
NPI assigned
Mar 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 25MA07770000 NJ Primary

Addresses

Primary practice location

2 Industrial Way W
Eatontown, NJ 07724

Mailing address

2 Industrial Way W
Eatontown, NJ 07724
Phone (732) 542-4477

Other identifiers 1

IdentifierTypeStateIssuer
0103667MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060322000008 NJ Practitioner - Hand SurgeryPractitioner - General Surgery 2062429756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Central Jersey Hand SurgeryGroup PAC ID 7517975279, 8 clinicians

Practice addresses (Care Compare)

1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083

234 Industrial Way W
Building B Suite 200
Eatontown, NJ 07724-4245
Phone (732) 542-4477

535 Iron Bridge Rd
Freehold, NJ 07728-5301
Phone (732) 462-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)55
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Hand Surgery Hand Surgery CurrentSince Mar 8, 2006 Accepting new patients

Locations

2 Industrial Way W
Eatontown, NJ 07724
Phone (732) 389-2333

234 Industrial Way W
Eatontown, NJ 07724
Phone (732) 440-4900

234 Industrial Way W
Bldg B
Eatontown, NJ 07724
Phone (732) 229-8400

234 Industrial Way W
Ste 200
Eatontown, NJ 07724
Phone (732) 440-8707

535 Iron Bridge Rd
Freehold, NJ 07728
Phone (732) 462-7700

535 Iron Bridge Rd
Ste 8
Freehold, NJ 07728

780 Route 37 W
Toms River, NJ 08755
Phone (732) 286-9000

780 Route 37 W
Ste 140
Toms River, NJ 08755
Phone (732) 240-6400

Interoperability endpoints

  • Direct secure messaging: gfedorcik425107@direct.ahsys.org
  • Direct secure messaging: gregoryfedorcik@cjhs.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164499786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL WAY W",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-542-4477",
            "fax_number": "732-935-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL WAY W",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-542-4477",
            "fax_number": "732-935-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORCIK",
        "first_name": "GREGORY",
        "middle_name": "GERARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NJ",
            "license": "25MA07770000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103667",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.