Erginio Fernandez, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02411000 Issued in NJ

Practice address

714 Rte 10
Randolph, NJ 07869-2058

Phone

(973) 366-8338

NPI assigned

Apr 12, 2010

Last updated

Mar 28, 2024By 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 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dickerson Dental Group, LLC

  • Dentist
  • Randolph, NJ
  • NPI 1144739244
  NPD (past)

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1770809030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HEMLOCK DR",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441710",
            "telephone_number": "973-985-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 RTE 10",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692058",
            "telephone_number": "973-366-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ERGINIO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-12",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02411000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Falvey, P.A.
• Family and Cosmetic Dentistry of Randolph, LLC
• Family Medicine Associates of Randolph LLC
• Sylvia Fask, PH.D.
• Robert A Faust, A.B.O.C.
• Sarah Ferrier
• Melissa Few, DO
• Lynn M Fiore, OTR
• Taylor Christian Fox, LAT, ATC
• Jeffrey Marc Frankel, DMD

• Dentist in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.