Provider Type Icon

CHARLES P FERNICOLA M.D. NPI 1063472694


NPI Information

NPI: 1063472694
Provider Name: CHARLES P FERNICOLA, M.D.
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 31D0725570

Address:
1145 BEACON AVE
MANAHAWKIN, NJ
ZIP 08050
Phone: (609) 597-1991
Get Directions

Charles P Fernicola, M.D. is an urology in Manahawkin, NJ with 42 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Charles P Fernicola, M.D. NPI is 1063472694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:1982

The provider's business location address is:

1145 BEACON AVE
MANAHAWKIN, NJ
ZIP 08050-471
Phone: (609) 597-1991
Fax: (609) 597-8198

The NPI 1063472694 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 31D0725570 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Urinalysis, manual test (HCPCS:81002)
  • Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Insertion of stent in urinary duct (ureter) using an endoscope (HCPCS:52332)
  • Ultrasound of rectum (HCPCS:76872)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

The enumeration date for this NPI number is 3/27/2006 and was last updated on 3/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology25MA04460500NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13131602MEDICAIDNEW JERSEY
2C59866MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.