GREGORY GERARD FEDORCIK (NPI# 1164499786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164499786 |
| Entity Type | Individual |
| Full Name | GREGORY GERARD FEDORCIK |
| Credential | MD |
| Practice Address |
2 Industrial Way W Eatontown NJ 07724 |
| Practice Telephone | 7325424477 |
| Practice Fax Number | 7329350355 |
| Mailing Telephone | 7325424477 |
| Mailing Fax Number | 7329350355 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
25MA07770000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0103667 | 05 |
| Street Address |
2 INDUSTRIAL WAY W |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801880695 | Raymond G Decker Jr. | Orthopaedic Surgery | 2 Industrial Way W, Eatontown, NJ 07724-2265 | 2005-09-07 |
| 1437316650 | Kessler Institute for Rehabilitation Inc | Clinic/Center | 2 Industrial Way W, Eatontown, NJ 07724-2265 | 2008-05-16 |
| 1518134147 | Kessler Institute for Rehabilitation Inc | Clinic/Center | 2 Industrial Way W, Eatontown, NJ 07724-2265 | 2008-05-13 |
| 1538356621 | Central Jersey Open Extremity Mri | Clinic/Center | 2 Industrial Way W, Eatontown, NJ 07724-2265 | 2007-10-02 |
| 1093907511 | Carolyn Cyrway | Occupational Therapist | 2 Industrial Way W, Eatontown, NJ 07724-2265 | 2007-08-17 |
| 1881688794 | Gary M Pess | Orthopaedic Surgery | 2 Industrial Way W, Eatontown, NJ 07724-2265 | 2005-09-07 |
| 1033103957 | George M Gabuzda | Orthopaedic Surgery | 2 Industrial Way W, Eatontown, NJ 07724-2265 | 2005-09-07 |
| 1487648309 | Teddy L Atik | Orthopaedic Surgery | 2 Industrial Way W, Eatontown, NJ 07724-2265 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902226673 | Jeremy Ruskin | Orthopaedic Surgery | 234 Industrial Way W Ste B-200, Eatontown, NJ 07724-4244 | 2014-04-22 |
| 1801880695 | Raymond G Decker Jr. | Orthopaedic Surgery | 2 Industrial Way W, Eatontown, NJ 07724-2265 | 2005-09-07 |
| 1528052446 | Central Jersey Hand Surgery | Orthopaedic Surgery | 234 Industrial Way W, Building 2, Suite 200, Eatontown, NJ 07724-4245 | 2005-09-07 |
| 1881688794 | Gary M Pess | Orthopaedic Surgery | 2 Industrial Way W, Eatontown, NJ 07724-2265 | 2005-09-07 |
| 1033103957 | George M Gabuzda | Orthopaedic Surgery | 2 Industrial Way W, Eatontown, NJ 07724-2265 | 2005-09-07 |
| 1487648309 | Teddy L Atik | Orthopaedic Surgery | 2 Industrial Way W, Eatontown, NJ 07724-2265 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639648785 | Garden State Orthopaedic Associates, P.a. | Orthopaedic Surgery | 22 Madison Ave Ste 202, Paramus, NJ 07652-2721 | 2018-11-19 |
| 1932643392 | Institute for Hand and Arm Surgery | Orthopaedic Surgery | 345 Main St Ste 202, Madison, NJ 07940-2339 | 2016-12-05 |
| 1386067130 | Virtua Medical Group, Pa | Orthopaedic Surgery | 1311 Fairview Blvd Ste B, Delran, NJ 08075-1474 | 2014-01-30 |
| 1316368012 | Virtua Medical Group, Pa | Orthopaedic Surgery | 200 Bowman Dr Ste E140, Voorhees, NJ 08043-9631 | 2013-12-23 |
| 1417219619 | Virtua Medical Group, Pa | Orthopaedic Surgery | 100 Kings Way E Ste D3a, Sewell, NJ 08080-2237 | 2012-06-13 |
| 1063788958 | Garden State Orthopaedic Associates, P.a. | Orthopaedic Surgery | 33-41 Newark St, Hoboken, NJ 07030-5627 | 2012-03-26 |
| 1255635272 | Deidre Bielicka | Orthopaedic Surgery | 629 Cranbury Rd, East Brunswick, NJ 08816-4096 | 2011-01-05 |
| 1871804880 | Rosemary Yi | Orthopaedic Surgery | 620 Essex Street, Suite 202, Harrison, NJ 07029-2134 | 2010-06-24 |
| 1821232133 | Janet Han Yueh | Orthopaedic Surgery | 113 W Essex St Ste 202, Maywood, NJ 07607-1023 | 2009-04-30 |
| 1013150572 | Advanced Orthopaedic Centers, Pa | Orthopaedic Surgery | 159 Bridgeton Pike, Bldg D, Mullica Hill Commons, Mullica Hill, NJ 08062 | 2009-04-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GREGORY GERARD FEDORCIK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.