Individual provider Active NPI

Monica Fernicola, NP-C

  • Primary Care Nurse Practitioner
  • Paramus, NJ
National Provider Identifier
1336407188
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00374500 Issued in NJ
Practice address
90 W Ridgewood Ave
Paramus, NJ 07652-2270
Phone
(201) 652-1950
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ00374500 NJ Primary

Addresses

Primary practice location

90 W Ridgewood Ave
Paramus, NJ 07652-2270

Mailing address

1 Sears Dr Ste 306
Paramus, NJ 07652-3510
Phone (201) 830-2287

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121004000685 NJ Practitioner - Nurse Practitioner 0941459028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Specialists of Northern Jersey LLCGroup PAC ID 7618247420, 8 clinicians

Practice addresses (Care Compare)

1 Sears Dr
Paramus, NJ 07652-3510
Phone (201) 830-2287

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medical Associates, LLP CurrentSince May 1, 2019 Accepting new patients
Physician Specialists of Northern Jersey LLC CurrentSince Jun 30, 2023 Accepting new patients

Locations

249 High St
Newton, NJ 07860
Phone (855) 699-6312

222 High St
Ste 102
Newton, NJ 07860
Phone (973) 579-5090

1 Sears Dr
Ste 306
Paramus, NJ 07652
Phone (201) 830-2287

90 W Ridgewood Ave
Paramus, NJ 07652
Phone (201) 562-1950

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDEHBD

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1336407188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEARS DR STE 306",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523510",
            "telephone_number": "201-830-2287",
            "fax_number": "201-830-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522270",
            "telephone_number": "201-652-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNICOLA",
        "first_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00374500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.