Charles M Stivala, DO - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Pomona, NJ

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Charles M Stivala, DO is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Pomona, New Jersey. His current practice location is 65 W Jimmie Leeds Rd, Pomona, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 748-7089.

Charles M Stivala is licensed to practice in New Jersey (license number 25MB10453400) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295721447.

Contact Information

Charles M Stivala, DO
65 W Jimmie Leeds Rd,
Pomona, NJ 08240-9102
(609) 748-7089
(609) 652-3460

Map and Direction




Physician's Profile

Full NameCharles M Stivala
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location65 W Jimmie Leeds Rd, Pomona, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295721447
  • Provider Enumeration Date: 09/23/2005
  • Last Update Date: 12/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5395713556
  • Enrollment ID: I20190128000858

Medical Identifiers

Medical identifiers for Charles M Stivala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295721447NPI-NPPES
0666726MedicaidNJ
100816858MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery OS012844 (Pennsylvania)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 25MB10453400 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles M Stivala allows following entities to bill medicare on his behalf.
Entity NameAtlanticare Physician Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093829608
PECOS PAC ID: 8527953660
Enrollment ID: O20040218000405
Entity NameVirtua Medical Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649226515
PECOS PAC ID: 9830222397
Enrollment ID: O20100804000338

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles M Stivala is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles M Stivala, DO
3600 Route 66 Fl 3,
Neptune, NJ 07753-2645

Ph: (732) 807-0880		Charles M Stivala, DO
65 W Jimmie Leeds Rd,
Pomona, NJ 08240-9102

Ph: (609) 748-7089

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Pomona, NJ

Kirk Andrew Mcmurtry, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240
Phone: 609-748-7089    
Demetrios K. Mavroidis, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240
Phone: 609-652-1000    
Dr. Dana Mccloskey, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240
Phone: 609-748-7089    Fax: 609-652-3460

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.