CHARLES WILLIAM CONCODORA M.D.
NPI 1942511373
Urology - Pediatric Urology in Eatontown, NJ

Q: What is Charles Concodora's NPI number?

The NPI number for Charles Concodora is 1942511373. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Q: What is Charles Concodora's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Charles Concodora was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment

200 WYCKOFF ROAD, SUITE 4500, EATONTOWN, NJ 07724(732) 235-7960 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2024, Apr 18, 2018, Mar 29, 2018 (3 updates tracked since 2018).

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About Charles William Concodora M.d. NPPES

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

CHARLES WILLIAM CONCODORA M.D. (NPI 1942511373) is an individual pediatric urology provider in Eatontown, New Jersey, licensed in New Jersey (25MA10242700) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2010).

NPPES Registry Identity

NPI1942511373

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameCHARLES WILLIAM CONCODORACredential: M.D.

Location Address200 WYCKOFF ROAD, SUITE 4500Eatontown, NJ 07724

Mailing Address200 Wyckoff Road, Suite 4500Eatontown, NJ 07724 · (732) 235-7960

Phone(732) 235-7960

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 2010

Enumeration DateJune 30, 2010

Last NPPES UpdateApril 11, 20243 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1942511373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in NJ · 25MA10242700

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License 25MA10242700 (NJ)

200 WYCKOFF ROAD, Eatontown, NJ 07724

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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

Charles William Concodora M.d. 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 ID8628323342

PECOS Enrollment IDI20251106002459

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.

Other Providers at the Same Location NPPES 5

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

MRS. SETON ELIZABETH CUCCIO LCSW

Social Worker (Clinical)

200 WYCKOFF ROAD, 3RD FLOOR
EATONTOWN, NJ 07724

Monmouth County (862) 781-3755

DR. ASHWIN AGRAWAL D.O.

Pediatrics (Pediatric Gastroenterology)

200 WYCKOFF ROAD, SUITE 4200
EATONTOWN, NJ 07724

Monmouth County (732) 923-6080

MRS. SHANNON T EDGEWORTH LCSW

Social Worker (Clinical)

200 WYCKOFF ROAD
EATONTOWN, NJ 07724

Monmouth County (862) 781-3755

MRS. ELIZABETH ANNE DUNIGAN LCSW

Counselor (Mental Health)

200 WYCKOFF ROAD
EATONTOWN, NJ 07724

Monmouth County (732) 923-5573

MVP MEDICAL ASSOCIATES, PA

Clinic/Center (Urgent Care)

200 WYCKOFF ROAD
EATONTOWN, NJ 07724

Monmouth County (732) 531-0100

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 Concodora's NPI number?

The NPI number for Charles Concodora is 1942511373. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Charles Concodora located?

Charles Concodora practices at 200 Wyckoff Road Suite 4500, Eatontown, NJ 07724. The listed phone number is (732) 235-7960.

What is Charles Concodora's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Charles Concodora enrolled in Medicare?

Yes. Charles Concodora 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.

When was this NPI record last updated?

The NPPES record for Charles Concodora was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.