Active NPI
Monica Fernicola, NP-C
- Primary Care Nurse Practitioner
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 26NJ00374500
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1 Sears Dr
Paramus, NJ 07652-3510
Phone (201) 830-2287
Hospital & facility affiliations
- Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Medical Associates, LLP | Current | Accepting new patients | |
| Physician Specialists of Northern Jersey LLC | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Paramus, NJ
- NPI 1952842460
-
- Pulmonary Disease Physician
- Newton, NJ
- NPI 1134238488
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.