Active NPI
Robert Fernand, MD
- Orthopaedic Surgery Physician
- Wayne, NJ
National Provider Identifier
1184651952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 23964
- Practice address
- 516 Hamburg Tpke
Suite # 12
Wayne, NJ 07470-2062 - Phone
- (973) 595-7922
- Fax
- (973) 595-7052
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 23964 | NJ | Primary |
Addresses
Primary practice location
516 Hamburg Tpke
Suite # 12
Wayne, NJ 07470-2062
Mailing address
516 Hamburg Tpke
Suite # 12
Wayne, NJ 07470-2062
Phone (973) 595-7922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23964 | NJ | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1184651952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 HAMBURG TPKE",
"address_2": "SUITE # 12",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702062",
"telephone_number": "973-595-7922",
"fax_number": "973-595-7052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 HAMBURG TPKE",
"address_2": "SUITE # 12",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702062",
"telephone_number": "973-595-7922",
"fax_number": "973-595-7052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNAND",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "23964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.