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

Active since June 30, 2010PECOS Enrolled
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: October 25, 2026.

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

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles William Concodora M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Charles Concodora reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rutgers Health-Rwj Neurosurgery Faculty
25 mi
Pediatric Surgery
1 ROBERT WOOD JOHNSON PL STE 2100
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 259 clinicians in this Medicare group
NPI 1659406957 (732) 235-7044
Shriners Hospitals For Children
58 mi
Clinic/Center
599 W STATE ST STE 305
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 83 clinicians in this Medicare group
NPI 1033879713 (215) 430-4000
University Of Pittsburgh Physicians
304 mi
Internal Medicine
3436 WILLIAM PENN HWY, SUITE 166
Pittsburgh, PA 15235
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1407985674 (412) 823-6222
Wellstar Medical Group, LLC
710 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organizations bill Medicare for Charles Concodora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Concodora reassigns Medicare benefits to 4 organizations: Rutgers Health-Rwj Neurosurgery Faculty (New Brunswick, NJ), Shriners Hospitals For Children (Doylestown, PA), University Of Pittsburgh Physicians (Pittsburgh, PA) and Wellstar Medical Group, LLC (Roswell, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Concodora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Concodora accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Charles Concodora 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.

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.