Emmet Fenichel, M.D.
NPI 1952832164 · Family Medicine Physician · Middletown, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Emmet Fenichel, M.D. is a Family Medicine Physician provider in Middletown, NJ (NPI 1952832164).
Provider details
- NPI number
- 1952832164
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA10649000 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
966 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 327 | $137 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 168 | $17 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 74 | $88 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 71 | $140 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 61 | $15 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 62 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 197 | 87 |
| Atorvastatin Calcium | 166 | 62 |
| Amlodipine Besylate | 99 | 42 |
| Levothyroxine Sodium | 94 | 41 |
| Alprazolam | 93 | 39 |
| Losartan Potassium | 88 | 28 |
| Escitalopram Oxalate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,264 across 57 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-03-21
- Last updated
- 2020-07-16
- Certified
- 2020-07-16
Frequently asked questions
- What is Emmet Fenichel's NPI number?
- Emmet Fenichel's National Provider Identifier (NPI) is 1952832164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Emmet Fenichel's specialty?
- Emmet Fenichel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Emmet Fenichel located?
- Emmet Fenichel's practice location on file with NPPES is 18 Leonardville Rd, Middletown, NJ 07748-2311.
- What is Emmet Fenichel's phone number?
- The practice phone number listed in the NPPES registry for Emmet Fenichel is (732) 671-0860.
- Does Emmet Fenichel accept Medicare?
- Emmet Fenichel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Emmet Fenichel's NPI active?
- Yes — Emmet Fenichel's NPI (1952832164) is active in the NPPES registry as of the last update on 2020-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.