Pascale Ferdinand, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA10152900 Issued in NJ

Practice address

115 Jefferson Ave
Elizabeth, NJ 07201

Phone

(908) 447-7221

Fax

(908) 351-6663

NPI assigned

Jun 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, shared by 9 NPIs, 129 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Family Legacy Medical Care, PA

  • Family Medicine Physician
  • Elizabeth, NJ
  • NPI 1043704810
  Medicare reassignment Authorized official
• State of New Jersey Omb Centralized Payroll

  • Psychiatric Hospital
  • Morris Plains, NJ
  • NPI 1336221878
  Medicare reassignment NPD
• State of New Jersey Omb Centralized Payroll

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Clinton, NJ
  • NPI 1811931504
  Medicare reassignment NPD
• Michel-Ange Ferdinand, MD

  • Family Medicine Physician
  • Elizabeth, NJ
  • NPI 1770686289
  Medicare reassignment

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1487067856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JEFFERSON AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012417",
            "telephone_number": "908-447-7221",
            "fax_number": "908-351-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 JEFFERSON AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07201",
            "telephone_number": "908-447-7221",
            "fax_number": "908-351-6663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "07201",
            "country_code": "US",
            "telephone_number": "908-447-7221",
            "fax_number": "908-351-6663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERDINAND",
        "first_name": "PASCALE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10152900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0605271",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Farrer, MD
• Emily A Fasulo
• Liilie Faulk, RN
• Favour Home Healthcare Services
• Michel-Ange Ferdinand, MD
• Sonia Fernandes, APN
• Yanara Fernandez Quignon, APRN
• Beatriz America Fernandez, DMD
• Cindy Fernandez, AU.D.
• Jubell Fernandez

• Family Medicine Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.

Verify at the official NPI Registry.