Emmet Theodore Fenichel, M.D.
Family Medicine Physician · Middletown, NJ
Emmet Theodore Fenichel, M.D. is a family medicine physician with a practice address in Middletown, New Jersey, and NPI 1952832164, issued on Mar 21, 2017. Check the license (New Jersey 25MA10649000, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Emmet Theodore Fenichel
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 25MA10649000 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 18 Leonardville RD, Middletown, NJ 07748
- Phone
- (732) 671-0860
- Enumerated
- Mar 21, 2017
- Record last updated
- Jul 16, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20200917000287); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 2,770 in New Jersey → Look up another NPI →
Also registered at 18 Leonardville RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Nathan Borrero, MDFamily Medicine Physician1104405240
- Dianne Drum, AGNPPrimary Care Nurse Practitioner1134635568
- Caryn Giacona, MDFamily Medicine Physician1982686010
- Marcia Gold, MDInternal Medicine Physician1710921804
- Colleen Hanson, APNGerontology Nurse Practitioner1841958568
- Shanda McManus, M.D.Family Medicine Physician1487862827
Verify Emmet Theodore Fenichel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA10649000Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
21% fewer Medicare Part D claims than the average family medicine physician in 2024
2,812 Medicare Part D claims for 521 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 14 claims were for opioids.
Most prescribed
- Rosuvastatin Calcium197 claims
- Atorvastatin Calcium166 claims
- Amlodipine Besylate99 claims
- Levothyroxine Sodium94 claims
- Alprazolam93 claims
- Losartan Potassium88 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 95 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,263.70
57 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Hackensack Meridian Health Medical Group - Primary Care PCPoint Pleasant Boro, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Emmet Theodore Fenichel among 2,770 family medicine physician records in New Jersey
Emmet Theodore Fenichel, M.D. is one of 2,770 family medicine physician records with a practice address in New Jersey. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 79% of them.
- NPI issued2017 · 79% of these records are older, 19% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2016 · median 2006 among the 1,875 with a school on file
- Record last updated2020 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
10 family medicine physician records list a practice address in Middletown
They are 10 of the 322 NPPES records with a practice address in Middletown, and 2,770 family medicine physician records in New Jersey.
All 2,770 in New Jersey → Every provider in Middletown → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Nathan Borrero, MDMiddletown, NJ 077481104405240
- David Dornfeld, DOMiddletown, NJ 077481346210820
- Caryn Giacona, MDMiddletown, NJ 077481982686010
- Shanda McManus, M.D.Middletown, NJ 077481487862827
- Julia Ritsan, D.O.Middletown, NJ 077481730178054
- Colin Scott, MDMiddletown, NJ 077481316576374
- Frances Sjovall, DOMiddletown, NJ 077481811082373
- Roger Thompson, MDMiddletown, NJ 077481376526442
Common questions
What is Emmet Theodore Fenichel, M.D.'s NPI number?
Emmet Theodore Fenichel, M.D.'s National Provider Identifier (NPI) is 1952832164, issued on Mar 21, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Emmet Theodore Fenichel, M.D. located?
The NPPES record lists a practice address at 18 Leonardville RD, Middletown, NJ, 07748. Phone: (732) 671-0860. Providers update this record themselves, so call before visiting.
How can I verify Emmet Theodore Fenichel, M.D.'s license?
NPPES lists New Jersey license number 25MA10649000, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Emmet Theodore Fenichel, M.D. prescribe under Medicare Part D?
In 2024, Emmet Theodore Fenichel, M.D. had 2,812 Medicare Part D claims for 521 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Emmet Theodore Fenichel, M.D.'s MIPS final score?
The 2023 MIPS final score is 95 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.