OrganizationActive
Manuel Fernandez MD PA
NPI 1740734524 · Preferred Provider Organization · Edison, NJ
Provider details
- NPI number
- 1740734524
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Manuel Fernandez, President(732) 826-4177
- License
- 03550900 (NJ)
Specialties & taxonomies
Managed Care Organizations
Practice location
205 May St
Edison, NJ 08837-3267
Phone: (732) 661-9075
Approximate (ZIP-level) locationGet directions
Mailing address
1070 Highway 34
Matawan, NJ 07747-3469
Registry dates
- Enumerated
- 2016-08-09
- Last updated
- 2016-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.