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

Individual provider Urology Physician · NPI 1063472694

Charles P Fernicola, MD is an Urology in Manahawkin, New Jersey. Graduated from Rutgers New Jersey Medical School in 1982, 44 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
44
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1145 Beacon Ave
Manahawkin, NJ 08050-2471
Phone: (609) 597-1991
Fax: (609) 597-8198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 25MA04460500 (NJ)

Record details

NPI number1063472694
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2006
Last updated in NPPESMarch 14, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 1982 (44 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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