Premier Perinatal, L.L.C.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

25MA06226600 Issued in NJ

Legal business name

PREMIER PERINATAL, L.L.C.

Practice address

1416 Hooper Ave
Suite 1
Toms River, NJ 08753-2825

Phone

(732) 736-0300

Fax

(732) 736-9600

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Octavio Fernandez, M.D.NPI 1720074362

Title

President

Phone

(732) 736-0300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Octavio Fernandez, M.D.

  • Maternal & Fetal Medicine Physician
  • Neptune, NJ
  • NPI 1720074362
  Medicare reassignment Authorized official
• Carolyn Ann Fernandez, RN, MSN, APRN-BC

  • Acute Care Nurse Practitioner
  • Toms River, NJ
  • NPI 1013903954

  Maternal & Fetal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1942489174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 HOOPER AVE",
            "address_2": "SUITE 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532825",
            "telephone_number": "732-736-0300",
            "fax_number": "732-736-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 HOOPER AVE",
            "address_2": "SUITE 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532825",
            "telephone_number": "732-736-0300",
            "fax_number": "732-736-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PERINATAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "OCTAVIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-736-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "25MA06226600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dean Richard Prestino, D.D.S.
• Mary Previte, LPC

• Maternal & Fetal Medicine Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Maternal & Fetal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.