Organization Active NPI

Maria L Fernando MD PC

  • Legal Medicine
  • Brooklyn, NY
National Provider Identifier
1063729366
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
154110 Issued in NY
Legal business name
MARIA L FERNANDO MD PC
Practice address
398 Himrod St
Brooklyn, NY 11237-4446
Phone
(718) 386-1111
NPI assigned
Sep 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Maria Fernando
Title
MD
Phone
(718) 386-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 154110 NY Primary

Addresses

Primary practice location

398 Himrod St
Brooklyn, NY 11237-4446

Mailing address

398 Himrod St
Brooklyn, NY 11237-4446

Other identifiers 1

IdentifierTypeStateIssuer
03269945MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1063729366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 HIMROD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 HIMROD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374446",
            "telephone_number": "718-386-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA L FERNANDO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-386-1111"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "154110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03269945",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.