Individual provider Active NPI

Patricia Wong Hermogenes, M.D.

  • Family Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1023174596
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
188841 Issued in NY
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 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 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

IdentifierTypeStateIssuer
188841OtherNYLICENSE
41K101OtherNYBLUE CROSS BLUE SHIELD
DP492OtherNYOXFORD HEALTH PLANS
5900474OtherNYGHI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000929 NY Practitioner - Family Practice 7911031208 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188841NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia W. Hermogenes, MD PC Family Medicine CurrentSince Jan 1, 2010 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.

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

Verify at the official NPI Registry.