CHARLES WILLIAM CONCODORA M.D.
NPI 1942511373
Urology - Pediatric Urology in Eatontown, NJ
NPI Status: Active since June 30, 2010
Contact Information
200 WYCKOFF ROAD
SUITE 4500
EATONTOWN, NJ
ZIP 07724
Phone: (732) 235-7960
- Individual
- Male
- Urology
- Pediatric Urology
- PECOS Enrolled
About CHARLES CONCODORA
Charles Concodora is a provider established in Eatontown, New Jersey and his medical specialization is Urology with a focus in pediatric urology . The healthcare provider is registered in the NPI registry with number 1942511373 assigned on June 2010. The practitioner's primary taxonomy code is 2088P0231X with license number 25MA10242700 (NJ). The provider is registered as an individual and his NPI record was last updated April 2024.
- NPI
- 1942511373
- Provider Name
- CHARLES WILLIAM CONCODORA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 200 WYCKOFF ROAD SUITE 4500 EATONTOWN, NJ 07724
- Location Phone
- (732) 235-7960
- Mailing Address
- 200 WYCKOFF ROAD SUITE 4500 EATONTOWN, NJ 07724
- Mailing Phone
- (732) 235-7960
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-30-2010
- Last Update Date
- 04-11-2024
- Code Navigator
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology Pediatric Urology
- Taxonomy Code
- 2088P0231X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA10242700
- License State
- NJ
- Taxonomy Description
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208800000X | Allopathic & Osteopathic Physicians | Urology | 25MA10242700 (NJ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Ambetter Health of Delaware
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Everyday Silver - EPO
- Everyday Silver + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Charles Concodora is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 4 | 2 | 5 | 1 | 1 | 3 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 8 | 2 | 10 | 1 | 2 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 8 + 2 + 1 + 0 + 1 + 2 + 3 + 1 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1942511373 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992463384 | MVP MEDICAL ASSOCIATES, PA Organization | Clinic/Center (Urgent Care) | 200 WYCKOFF ROAD EATONTOWN, NJ 07724 (732) 531-0100 |
| 1205307907 | MRS. SETON ELIZABETH CUCCIO LCSW Individual | Social Worker (Clinical) | 200 WYCKOFF ROAD 3RD FLOOR EATONTOWN, NJ 07724 (862) 781-3755 |
| 1669151692 | MRS. SHANNON T EDGEWORTH LCSW Individual | Social Worker (Clinical) | 200 WYCKOFF ROAD EATONTOWN, NJ 07724 (862) 781-3755 |
| 1679213425 | MRS. ELIZABETH ANNE DUNIGAN LSW Individual | Counselor (Mental Health) | 200 WYCKOFF ROAD EATONTOWN, NJ 07724 (732) 923-5573 |
| 1346602125 | DR. ASHWIN AGRAWAL D.O. Individual | Pediatrics (Pediatric Gastroenterology) | 200 WYCKOFF ROAD SUITE 4200 EATONTOWN, NJ 07724 (732) 923-6080 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942511373, enumerated in the NPI registry as an "individual" on June 30, 2010
The provider is located at 200 Wyckoff Road Suite 4500 Eatontown, Nj 07724 and the phone number is (732) 235-7960
The provider's speciality is Urology with taxonomy code 2088P0231X with a focus in Pediatric Urology
The provider might be accepting Accepts: Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 30, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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