Diane Marie Fernicola, APN
Individual provider Active NPI Acute Care Nurse Practitioner · Bayville, NJ
NPI 1407089477 · NPPES record last updated Apr 21, 2026
Key facts
- NPI
- 1407089477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 26NJ00244000 (NJ)
- Practice address
- 230 Riverside Dr
Bayville, NJ 08721-2531 - Phone
- (732) 232-0158
- NPI assigned
- Aug 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210121002545 | NJ | Order and Referring Only - Nurse Practitioner | 4082028683 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Heart Center PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00244000 | NJ | Yes |
Addresses
Primary practice location
230 Riverside Dr
Bayville, NJ 08721-2531
Mailing address
230 Riverside Dr
Bayville, NJ 08721-2531
Phone (732) 232-0158
Other practice location 1
1945 NJ-33
Neptune, NJ 07753
Phone (732) 620-9289
Other providers in Bayville, NJ
- Extended Hands LLC Home Care Agency
- Jocelyn E. Fabila
- Kim M Fallon
- Christine Fedeli
- Julianne Fedor
- Christin Fingerlin
- Krys Fitzgerald
- Five Stars Home Care
- Moshe Frances
- Frank C. Alario, MD, PC
All providers in Bayville, NJ · Acute Care Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.