Russell Ferstandig, 25MA03504800

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA03504800 Issued in NJ

Practice address

74 Brick Blvd
Suite 117, BLDG 4
Brick, NJ 08723-7984

Phone

(732) 920-9050

Fax

(732) 920-9051

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780779702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD",
            "address_2": "SUITE 117, BLDG 4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-920-9050",
            "fax_number": "732-920-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD",
            "address_2": "SUITE 117, BLDG 4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-920-9050",
            "fax_number": "732-920-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERSTANDIG",
        "first_name": "RUSSELL",
        "credential": "25MA03504800",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA03504800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "25MA03504800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Anthony Fernandez
• Richard G Fernicola, MD
• Geraldine Ferrara, APN
• Kristie Ferrara, LPC
• Candice Lynn Ferretti, LPC
• Julie Ann Ferwerda, M.S. CCC-SLP
• Debbie Field, OD
• Giuseppe Filice
• Jeffrey Bruce Finkel, D.P.M.
• Jeff Firsichbaum, MSW

• Psychiatry Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.