NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Panda Physical Medicine LLC

Nurse Practitioner in Eatontown, NJ · enumerated 2018 · authorized official Charles Ferrante, Clinic Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043711203

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Panda Physical Medicine LLC
Practice address 142 Highway 35 Ste 107, Eatontown, NJ, 07724
Fax (732) 531-1200
Enumeration date Feb 23, 2018
Last updated in NPPES May 27, 2022

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers Secondary
174400000X Specialist Other Service Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Charles Ferrante
Title Clinic Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-05-27. Verify at npiregistry.cms.hhs.gov.
Where is Panda Physical Medicine LLC located?
The practice location on file with NPPES is in Eatontown, NJ.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-27.