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CHARLES P FERNICOLA MD PC
NPI 1003964628
Urology in Manahawkin, NJ

Active since January 08, 2007
1145 BEACON AVE, MANAHAWKIN, NJ 08050(609) 597-1991(609) 597-8198 Get Directions Write a Review

NPPES record last updated: June 5, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles P Fernicola Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES P FERNICOLA MD PC (NPI 1003964628) is a healthcare organization registered as an urology in Manahawkin, New Jersey and active in the NPI registry since January 2007. The organization lists Michele M Kennedy, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1003964628
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCHARLES P FERNICOLA MD PC
Location Address1145 BEACON AVEManahawkin, NJ 08050-2471
Mailing Address1145 Beacon AveManahawkin, NJ 08050-2471 · (609) 597-1991 · Fax (609) 597-8198
Phone(609) 597-1991
Fax(609) 597-8198
Organization SubpartNo
Authorized OfficialMichele M KennedyOffice Manager · (609) 597-1991
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJune 5, 2009
✔ NPI 1003964628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
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.
1145 BEACON AVE, Manahawkin, NJ 08050
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Other Identifiers 2

Medicare PIN545327NJ
Medicaid3131602NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0725570

Charles P Fernicola, MD · Manahawkin, NJ
Expired · Aug 1, 2026
CLIA Number31D0725570
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorCharles P. Fernicola
Laboratory Phone(609) 597-1991
Laboratory LocationCharles P Fernicola, MD1145 Beacon Avenue Suite A, Manahawkin, NJ 08050
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES P FERNICOLA M.D.
Urology
1145 BEACON AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 597-1991
MICHAEL A PISKUN M.D.
Urology
1145 BEACON AVE, STE A
MANAHAWKIN, NJ 08050
Ocean County (609) 597-1991
TODD JERRY LEHRFELD MD
Urology
1145 BEACON AVE, STE A
MANAHAWKIN, NJ 08050
Ocean County (609) 597-1991
MR. GREGORY JOHN MAZZATTA DPM
Podiatrist
1145 BEACON AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6688
TERI L FALCONER PAC
Physician Assistant
1145 BEACON AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 597-7110
MR. JEFFREY ALBERT MAZZATTA DPM
Podiatrist (Foot & Ankle Surgery)
1145 BEACON AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6688
MRS. LAUREN ROSE SERNOTTI P.A.-C
Physician Assistant
1145 BEACON AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 597-1991
ACHILLES FOOT AND ANKLE ASSOCIATES, P.A.
Podiatrist (Primary Podiatric Medicine)
1145 BEACON AVE
MANAHAWKIN, NJ 08050
Ocean County (609) 597-6688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles P Fernicola MD PC's NPI number?

The NPI number for Charles P Fernicola MD PC is 1003964628. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Charles P Fernicola MD PC located?

Charles P Fernicola MD PC is located at 1145 Beacon Ave, Manahawkin, NJ 08050. The listed phone number is (609) 597-1991.

What is Charles P Fernicola MD PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Charles P Fernicola MD PC was last updated on June 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.