Active NPI
Patricia Wong Hermogenes, M.D.
- Family Medicine Physician
- Elmhurst, NY
National Provider Identifier
1023174596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 188841
- Practice address
- 9411 59TH Ave Apt A11
Elmhurst, NY 11373-5173 - Phone
- (718) 271-7247
- Fax
- (718) 271-7249
- NPI assigned
- Dec 29, 2006
- Last updated
- Oct 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 188841 | NY | Primary |
Addresses
Primary practice location
9411 59TH Ave Apt A11
Elmhurst, NY 11373-5173
Mailing address
9411 59TH Ave Apt A11
Elmhurst, NY 11373-5173
Phone (718) 271-7247
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188841 | Other | NY | LICENSE |
| 41K101 | Other | NY | BLUE CROSS BLUE SHIELD |
| DP492 | Other | NY | OXFORD HEALTH PLANS |
| 5900474 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
94
A11
Elmhurst, NY 11373-5173
Phone (718) 271-7247
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188841 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia W. Hermogenes, MD PC | Family Medicine | Current | Accepting new patients |
| Northwell Health Laboratories | Past | Accepting new patients | |
| Middle Village Diagnostic Imaging PC | Past | Accepting new patients |
Locations
13701 83rd Ave
Apt 1B
Jamaica, NY 11435
Phone (718) 523-7186
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 3
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.
-
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- Jamaica, NY
- NPI 1730402074
-
- Diagnostic Radiology Physician
- Rego Park, NY
- NPI 1497771687
-
- Clinical Medical Laboratory
- New Hyde Park, NY
- NPI 1366543795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792540800000",
"number": "1023174596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9411 59TH AVE APT A11",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735173",
"telephone_number": "718-271-7247",
"fax_number": "718-271-7249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9411 59TH AVE APT A11",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735173",
"telephone_number": "718-271-7247",
"fax_number": "718-271-7249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMOGENES",
"first_name": "PATRICIA",
"middle_name": "WONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "188841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "188841",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "41K101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "DP492",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5900474",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.