Kris Ann Fernicola

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

573 Valley Rd Ste 6
Wayne, NJ 07470-3552

Phone

(973) 500-4018

NPI assigned

Aug 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Restoration Body Art Inc.

  • Other Specialist/Technologist
  • Wayne, NJ
  • NPI 1518646595

  Specialist/Technologist, Other

  NPD Authorized official

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1649758566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BERKLEY CT",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702426",
            "telephone_number": "973-789-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 VALLEY RD STE 6",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703552",
            "telephone_number": "973-500-4018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 S US Hwy 1",
            "address_2": "Unit 101 Suite 113",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "33477",
            "country_code": "US",
            "telephone_number": "407-982-4876",
            "fax_number": "407-650-2754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNICOLA",
        "first_name": "KRIS",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Andrea Ferlauto, MA
• Robert Fernand, MD
• Helen Fernandes, PHD
• Chris Joy Fernandez
• Nadira M Fernandez, MD
• Melissa Ferra, LCSW
• Anthony Nmi Festa, MD
• Eugene Daniel Festa, M.D., PH.D
• John Philip Festa, PA-C
• Steven Festa, MD

• Other Specialist/Technologist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Other Specialist/Technologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.