MRS. STEPHANIE FERNANDEZ PAC
NPI 1679824908
Physician Assistant - Surgical in Freehold, NJ

Active since September 26, 2012PECOS EnrolledAccepts Medicare Assignment
901 W MAIN ST STE 107, FREEHOLD, NJ 07728(732) 677-1091(732) 431-4640 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2024, Nov 20, 2019, Mar 23, 2018 (3 updates tracked since 2018).

About Mrs. Stephanie Fernandez Pac NPPES

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

MRS. STEPHANIE FERNANDEZ PAC (NPI 1679824908) is an individual surgical provider in Freehold, New Jersey, licensed in New York (015963) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Centrastate Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679824908
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. STEPHANIE FERNANDEZCredential: PAC
Location Address901 W MAIN ST STE 107Freehold, NJ 07728-2537
Mailing Address465 South St Ste 103Morristown, NJ 07960-6442 · (973) 695-4726 · Fax (973) 290-7495
Fax(732) 431-4640
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 26, 2012
Last NPPES UpdateApril 10, 20243 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
NPI 1679824908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 015963
Also ListedPhysician AssistantTaxonomy 363A00000X · License 015963 (NY)
901 W MAIN ST STE 107, Freehold, NJ 07728

Other Names 1

Former Name (1)Ms. Stephanie Susino Pac

Secondary Practice Locations 2

Location 1170 William StreetNew York, NY 10038 · Phone (646) 591-4267
Location 2300 Community DrManhasset, NY 11030-3816 · Phone (646) 591-4267

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Stephanie Fernandez Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224334222
PECOS Enrollment IDI20240508001225
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Other Providers at the Same Location NPPES 3

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

Surgery (Vascular Surgery)
901 W MAIN ST STE 107
FREEHOLD, NJ 07728
Physician Assistant
901 W MAIN ST STE 107
FREEHOLD, NJ 07728
Surgery (Vascular Surgery)
901 W MAIN ST STE 107
FREEHOLD, NJ 07728

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 Stephanie Fernandez's NPI number?

The NPI number for Stephanie Fernandez is 1679824908. It was assigned to this individual provider in the NPPES registry on September 26, 2012. The provider is also known as Ms. Stephanie Susino Pac.

Where is Stephanie Fernandez located?

Stephanie Fernandez practices at 901 W Main St Ste 107, Freehold, NJ 07728. The listed phone number is (732) 677-1091.

What is Stephanie Fernandez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Stephanie Fernandez enrolled in Medicare?

Yes. Stephanie Fernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Fernandez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Stephanie Fernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephanie Fernandez affiliated with any hospitals?

According to CMS data, Stephanie Fernandez is affiliated with Centrastate Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Fernandez was last updated on April 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.