EDWARD ANTHONY FERNANDEZ – Allergy & Immunology Physician, NPI 1902366529

EDWARD ANTHONY FERNANDEZ is a healthcare provider. based in Wall, New Jersey. specializing in ALLERGY/IMMUNOLOGY. They hold a License No. 25MA12110000 (NJ). The NPI Number for EDWARD ANTHONY FERNANDEZ is 1902366529

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD ANTHONY FERNANDEZ
NPI
1902366529
Phone
(732) 681-8700
Address
1540 Route 138 Ste 103
Enumeration Date
20 March 2019
Last Update Date
26 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7324582000
Graduation Year
2019 (7 years ago)
PAC ID
7618302563
Group Practice PAC ID
0345636510
Professional Enrollment ID
I20240603002185
Address ID
NJ087243071BR1673X1673101
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

187 ALLERGY/IMMUNOLOGY in NJ

Provider Addresses for EDWARD ANTHONY FERNANDEZ

  • 1540 Route 138 Ste 103

    Wall, NJ 077193766

    Phone: (732) 681-8700

    Fax: (732) 749-3737

    Type: Location

  • 7, Whitechapel Drive, Mount Laurel, Mount Laurel Township, Burlington County, New Jersey, 08054, United States

    MOUNT LAUREL, NJ 080543315

    Phone: (609) 760-6604

    Type: Mailing

  • Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    PHILADELPHIA, PA 191044238

    Phone: (800) 789-7366

    Type: Location

  • 1673 ROUTE 88

    BRICK, NJ 087243071

    Phone: (732) 458-2000

    Fax: (732) 458-4523

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $1,261.

Total Amount is formed as General ($1,261) + Research ($0) + Ownership ($0) = $1,261.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($368).

Total Amount

$1,261

General + Research + Ownership

Payments

52

Total payment records

General Amount

$1,261

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240603002185IAllergy/ImmunologyNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07719)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345636510View full group profile
NameSpecialtyState
Nurse PractitionerNJ
A L L E R G Y/ I M M U N O L O G YNJ

Reviews

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Frequently asked questions

How do I look up EDWARD ANTHONY FERNANDEZ by NPI?
Use NPI 1902366529 when you need to reference EDWARD ANTHONY FERNANDEZ in forms, claims, or directories.
Is EDWARD ANTHONY FERNANDEZ's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does EDWARD ANTHONY FERNANDEZ work in?
You can think of EDWARD ANTHONY FERNANDEZ as practicing within Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Where is EDWARD ANTHONY FERNANDEZ's primary listing?
We display Wall, New Jersey because that is what the record indicates for EDWARD ANTHONY FERNANDEZ.
How can I contact EDWARD ANTHONY FERNANDEZ?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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