Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles M. Stivala, DO

Individual provider Surgery Physician · NPI 1295721447

Charles M. Stivala, DO is a Surgery Physician in Pomona, New Jersey. Works from 2 locations. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone: (609) 748-7089
Fax: (609) 652-3460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 Mulberry St, Scranton, PA 18510-2369 — (570) 969-7355

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 25MB10453400 (NJ)
Surgery Physician Taxonomy 208600000X · Licence OS012844 (PA)

Record details

NPI number1295721447
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 23, 2005
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing address3600 Route 66 Fl 3, Neptune, NJ 07753-2645

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