Individual provider Active NPI

Kimberly Hernandez Oquendo, MD

  • Family Medicine Physician
  • North Bergen, NJ
National Provider Identifier
1003370875
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA13206700 Issued in NJ
Practice address
7919 Kennedy Blvd
North Bergen, NJ 07047-4137
Phone
(201) 528-3664
Fax
(201) 528-3662
NPI assigned
Jan 25, 2019
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA13206700 NJ Primary

Addresses

Primary practice location

7919 Kennedy Blvd
North Bergen, NJ 07047-4137

Mailing address

7919 Kennedy Blvd
North Bergen, NJ 07047-4137
Phone (201) 528-3664

Other practice location 1

219 60th St
West New York, NJ 07093-6429
Phone (201) 528-3664

Other names 1

  • Kimberly Hernandez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA13206700NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC CurrentSince Aug 1, 2026 Accepting new patients
Domi Healthcare LLC Family Medicine PastSince Aug 1, 2026 Accepting new patients

Locations

7919 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 528-3664

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1003370875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7919 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474137",
            "telephone_number": "201-528-3664",
            "fax_number": "201-528-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7919 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474137",
            "telephone_number": "201-528-3664",
            "fax_number": "201-528-3662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 60th St",
            "address_purpose": "LOCATION",
            "city": "West New York",
            "state": "NJ",
            "postal_code": "070936429",
            "country_code": "US",
            "telephone_number": "201-528-3664",
            "fax_number": "201-528-3662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ OQUENDO",
        "first_name": "KIMBERLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA13206700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HERNANDEZ",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.