Richard G Fernicola


Address: 1451 Route 88 5, Brick, NJ 08724-2371
Phone: 7326600202

Richard G Fernicola (NPI# 1487723615, PAC ID# 5991712226) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.

Physician Overview

Nation Provider ID (NPI) 1487723615
PAC ID by PECOS 5991712226
Professional Enrollment ID I20060313000117
Full Name Richard G Fernicola
Address 1451 Route 88 5
Brick
NJ 08724-2371
Phone Number 7326600202
Gender M
Credential MD
Medical School NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1996
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310052 OCEAN MEDICAL CENTER
310073 JERSEY SHORE UNIVERSITY MEDICAL CENTER

Other Locations

Address Phone Organization
1451 Route 88 5, Brick, NJ 08724-2371 7326600202
425 Jack Martin Blvd, Brick, NJ 08724-7732 7326600202

Organization Information

Office Location

Street Address 1451 ROUTE 88 5
City BRICK
State NJ
Zip 08724-2371

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Competitor

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City BRICK
Zip Code 08724
Specialty PHYSICAL MEDICINE AND REHABILITATION
City + Specialty BRICK + PHYSICAL MEDICINE AND REHABILITATION

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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