Charles P Fernicola (NPI# 1063472694, PAC ID# 4981647120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1063472694 |
| PAC ID by PECOS | 4981647120 |
| Professional Enrollment ID | I20050608000345 |
| Full Name | Charles P Fernicola |
| Organization Legal Name | MERIDIAN MEDICAL GROUP-SPECIALTY CARE PC |
| Address |
1100 Route 72 W Suite 307 Manahawkin NJ 08050-2475 |
| Phone Number | 6099783910 |
| Gender | M |
| Credential | MD |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 1982 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6507962206 |
| Number of Group Practice Members | 233 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310113 | SOUTHERN OCEAN MEDICAL CENTER |
| 310064 | ATLANTICARE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1100 Route 72 W, Suite 307, Manahawkin, NJ 08050-2475 | 6099783910 | MERIDIAN MEDICAL GROUP-SPECIALTY CARE PC |
| Organization Legal Name | MERIDIAN MEDICAL GROUP-SPECIALTY CARE PC |
| Physicians | 228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brooke Anne Hopkins | Nurse Practitioner | Meridian Medical Group-specialty Care PC | 21 N Gilbert St, Tinton Falls, NJ 07701-4950 |
| Nicole Maccini | Nurse Practitioner | Meridian Medical Group-specialty Care PC | 2101 Route 34 S, Suite D, Wall, NJ 07719-9104 |
| David C Leopold | Family Medicine | Meridian Medical Group-specialty Care PC | 27 S Cooks Bridge Rd, Suite 2 3, Jackson, NJ 08527-2524 |
| Megan P Skinner | Nurse Practitioner | Meridian Medical Group-specialty Care PC | 1707 Atlantic Ave, Manasquan, NJ 08736-1147 |
| Suzanne Frasca | Obstetrics/gynecology | Meridian Medical Group-specialty Care PC | 312 Professional View Dr, Bldg 300, Freehold, NJ 07728-7904 |
| Corinne Desevo | Nurse Practitioner | Meridian Medical Group-specialty Care PC | 656 Shrewsbury Ave, Suite 300, Tinton Falls, NJ 07701-4964 |
| Kimberly H Mora | Nurse Practitioner | Meridian Medical Group-specialty Care PC | 1350 Campus Pkwy, Suite 303, Wall Township, NJ 07753-6817 |
| Vladimir Klinov | Neurology | Meridian Medical Group-specialty Care PC | 53 Nautilus Dr, Suite 201, Manahawkin, NJ 08050-2465 |
| Abigail S Whetstone | Obstetrics/gynecology | Meridian Medical Group-specialty Care PC | 240 Wall St, Suite 300, West Long Branch, NJ 07764-1182 |
| Javier I Soares Velez | Physical Medicine and Rehabilitation | Meridian Medical Group-specialty Care PC | 788 Shrewsbury Ave, Suite 103, Tinton Falls, NJ 07724-3093 |
| Street Address |
1100 ROUTE 72 W SUITE 307 |
| City | MANAHAWKIN |
| State | NJ |
| Zip | 08050-2475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie A Kane | Obstetrics/gynecology | Meridian Medical Group-specialty Care PC | 1100 Route 72 W, Suite 305, Manahawkin, NJ 08050-2475 |
| Rodney Capiro | Obstetrics/gynecology | Meridian Medical Group-specialty Care PC | 1100 Route 72 W, Suite 305, Manahawkin, NJ 08050-2475 |
| Brian T Gottesman | Obstetrics/gynecology | Meridian Medical Group-specialty Care PC | 1100 Route 72 W, Suite 305, Manahawkin, NJ 08050-2475 |
| Douglas Wright | Orthopedic Surgery | Meridian Medical Group-specialty Care PC | 1100 Route 72 W, Manahawkin, NJ 08050-2475 |
| Kathleen M Porsch | Certified Nurse Midwife (cnm) | Meridian Medical Group-specialty Care PC | 1100 Route 72 W, Suite 305, Manahawkin, NJ 08050-2475 |
| Paul K Chung | Hematology/oncology | Meridian Medical Group-specialty Care PC | 1100 Route 72 W, Suite 201, Manahawkin, NJ 08050-2446 |
| Matthew Way | Psychiatry | Meridian Medical Group Faculty Practice PC | 1100 Route 72 W, Suite 305, Manahawkin, NJ 08050-2475 |
| Evan C Naylor | Hematology/oncology | Meridian Medical Group-specialty Care PC | 1100 Route 72 W, Suite 201, Manahawkin, NJ 08050-2446 |
| Tricia L Morino | Hematology/oncology | Meridian Medical Group-specialty Care PC | 1100 Route 72 W, Suite 307, Manahawkin, NJ 08050-2475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Michael Madden | Allergy/immunology | 400 E Bay Ave, Manahawkin, NJ 08050-0430 | |
| Lindsay M Thornton | Diagnostic Radiology | Coastal Imaging LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Maureen Wood | Internal Medicine | Route Intensivists Services LLC | 1140 Route 72 W, Southern Ocean Medical Center, Manahawkin, NJ 08050-2412 |
| Kristen Renee Beer | Nurse Practitioner | Meridian Medical Group-specialty Care PC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Pinakin C Patel | Internal Medicine | Plover Inpatient Services LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Edeck S Pierre | Internal Medicine | Plover Inpatient Services LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Michelle Marie Bouyea | Anesthesiology | Jersey Shore Anesthesiology Associates Pa | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Leo J Fontana | Diagnostic Radiology | Coastal Imaging LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Brian Lee | Diagnostic Radiology | Coastal Imaging LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Mark A Singer | Diagnostic Radiology | Coastal Imaging LLC | 1140 Route 72 W, Manahawkin, NJ 08050-2412 |
| Find all physicians in zip 08050 | |||
| City | MANAHAWKIN |
| Zip Code | 08050 |
| Specialty | UROLOGY |
| City + Specialty | MANAHAWKIN + UROLOGY |
Please comment or provide details below to improve the information on Charles P Fernicola.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.