Frederick a. Coville, MD, PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

25MA05499900 Issued in NJ

Legal business name

FREDERICK A. COVILLE, MD, PC

Practice address

301 Central Ave
Suite D
Egg Harbor Township, NJ 08234-8340

Phone

(609) 957-5652

Fax

(609) 952-6082

NPI assigned

May 13, 2010

Last updated

Aug 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frederick A Coville, M.D.NPI 1679728307

Title

President

Phone

(609) 957-5652

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederick A Coville, MD

  • Plastic and Reconstructive Surgery Physician
  • Linwood, NJ
  • NPI 1679728307

  Dermatology

  Medicare reassignment NPD Authorized official
• Raymond A. Bernard

  • Certified Registered Nurse Anesthetist
  • Egg Harbor Township, NJ
  • NPI 1093729279
  NPD (past)

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1316265408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 NORTHPOINT ROAD",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "08226",
            "telephone_number": "609-957-5652",
            "fax_number": "609-952-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CENTRAL AVE",
            "address_2": "SUITE D",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082348340",
            "telephone_number": "609-957-5652",
            "fax_number": "609-952-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK A. COVILLE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "COVILLE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-957-5652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA05499900",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA05499900",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA05499900",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA05499900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Fonville
• Foot and Ankle Center LLC
• Veronica L. Ford, PH.D.
• Nyasia Fowlkes
• Nicolette Marie Franchetti
• Alan Stanley Friedman, MD
• Sarah K Fry, MSN, APN, C.
• Full Bloom Therapy Services LLC
• Rita Gagliardi, NP
• Michele E Gaguski

• Plastic and Reconstructive Surgery Physician in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Plastic and Reconstructive Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.