Panda Physical Medicine LLC
NPI 1043711203ActiveOrganization· Nurse Practitioner· Eatontown, NJ
Nurse Practitioner in Eatontown, New Jersey, registered in NPPES in February 2018. The authorized official on file is Charles A. Ferrante, DC, Clinic Manager.
Overview
| NPI | 1043711203 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 23, 2018 |
| Last updated in NPPES | May 27, 2022 |
| Certified by provider | May 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Chiropractor | 111N00000X | — | — |
| Specialist | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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