NPIMap

Individual provider Active NPI

Lisa Rose Hernandez, MD

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1043278047
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
166698 Issued in NY
Practice address
6 Presley St
Arbor Medical
Staten Island, NY 10308-3239
Phone
(718) 984-0969
Fax
(718) 984-4097
NPI assigned
May 2, 2006
Last updated
Nov 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 166698 NY Primary

Addresses

Primary practice location

6 Presley St
Arbor Medical
Staten Island, NY 10308-3239

Mailing address

6 Presley St
Staten Island, NY 10308-3239
Phone (718) 984-0969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031212000420 NY Practitioner - General PracticePractitioner - Family Practice 6901702570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
State University of New York at Buffalo School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Presley St
Staten Island, NY 10308-3239
Phone (718) 984-0969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.27 of 100Reported as group
Quality
94.9
Promoting interoperability
91
Improvement activities
40
Cost
76.85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Medical PC Internal Medicine CurrentSince Jun 1, 2003 Accepting new patients
Heartland Psychological Services PC Past Accepting new patients
Heartland Medical Services, P.C. Internal Medicine Past Accepting new patients

Locations

6 Presley St
Staten Island, NY 10308
Phone (718) 984-0969

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1043278047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PRESLEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083239",
            "telephone_number": "718-984-0969",
            "fax_number": "718-984-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PRESLEY ST",
            "address_2": "ARBOR MEDICAL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083239",
            "telephone_number": "718-984-0969",
            "fax_number": "718-984-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LISA",
        "middle_name": "ROSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "166698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.