Organization Active NPI

Gregory Fernandez MD PLLC

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1003766379
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
GREGORY FERNANDEZ MD PLLC
Practice address
5 W 37TH St Ste 506
New York, NY 10018-6222
Phone
(929) 693-7085
Fax
(929) 671-3949
NPI assigned
Jan 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Gregory FernandezNPI 1750775979
Title
MD
Phone
(929) 693-7085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

5 W 37TH St Ste 506
New York, NY 10018-6222

Mailing address

5 W 37TH St Ste 506
New York, NY 10018-6222
Phone (929) 693-7085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260321000091 NY Part B Supplier - Clinic/Group Practice 0345724936 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

5 W 37th St
Ste 506
New York, NY 10018
Phone (929) 693-7085

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1003766379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W 37TH ST STE 506",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186222",
            "telephone_number": "929-693-7085",
            "fax_number": "929-671-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W 37TH ST STE 506",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186222",
            "telephone_number": "929-693-7085",
            "fax_number": "929-671-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY FERNANDEZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "929-693-7085"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.