Stefan Fenichel, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA03415900 Issued in NJ

Practice address

410 N Route 9
Cape May Court House, NJ 08210-1952

Phone

(856) 451-4700

Fax

(856) 451-8685

NPI assigned

Jan 4, 2011

Last updated

Jan 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1750685848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S LAUREL ST",
            "address_2": "SECOND FLOOR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021946",
            "telephone_number": "856-451-4700",
            "fax_number": "856-451-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N ROUTE 9",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101952",
            "telephone_number": "856-451-4700",
            "fax_number": "856-451-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENICHEL",
        "first_name": "STEFAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03415900",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA03415900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Ann Falescky, OTR/L
• Richard Falivena, D.O.
• James Patrick Farrell, D.C.
• Fatima Fayyaz, MD
• Tooba Fayyaz, D.O.
• Bonnie Jo D. Feraco
• Ashen Kavinda Fernando, MD
• Zachary Albert Fetske
• Eugenia Elizabeth Figured, P.A.
• Nika Filatova, MD

• Dermatology Physician in Cape May Court House, NJ
• Providers in Cape May Court House, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.