Individual provider Active NPI

Hanny Mercedes Hernandez, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Bronx, NY
National Provider Identifier
1073746558
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
65006334 Issued in NY
Practice address
1262 Boston Rd
Bronx, NY 10456-3541
Phone
(347) 862-9092
Fax
(866) 902-6611
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 65006334 NY Primary

Addresses

Primary practice location

1262 Boston Rd
Bronx, NY 10456-3541

Mailing address

1262 Boston Rd
Bronx, NY 10456-3541
Phone (347) 862-9092

Other practice location 1

629 W 185th St
New York, NY 10033-3102
Phone (212) 928-3900

Other identifiers 1

IdentifierTypeStateIssuer
03247192MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100614000455 NY Practitioner - Podiatry 2062542392 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Groupo Medico Dominicano PLLCGroup PAC ID 8123125945, 8 clinicians

Practice addresses (Care Compare)

1262 Boston Rd
FL 2
Bronx, NY 10456-3541
Phone (347) 862-9092

629 W 185TH St
New York, NY 10033-3102
Phone (212) 928-3900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue26
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006334NYMDAcupuncturist
65006334NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Groupo Medico Dominicano PLLC CurrentSince Jun 8, 2025 Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Mar 19, 2012 Accepting new patients
Hanny Hernandez DPM, P.C. Foot & Ankle Surgery CurrentSince Mar 28, 2011 Accepting new patients
Fernando Taveras, MD PC PastSince Oct 16, 2016 Accepting new patients

Locations

1262 Boston Rd
Bronx, NY 10456
Phone (718) 569-7929

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

1262 Boston Rd
#2
Bronx, NY 10456
Phone (718) 569-7929

629 W 185th St
#3
New York, NY 10033
Phone (212) 543-3500

564 W 160th St
Ofc 1
New York, NY 10032
Phone (917) 403-6376

629 W 185th St
New York, NY 10033
Phone (212) 543-3500

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: hanny.hernandez.1@21268.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1073746558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563541",
            "telephone_number": "347-862-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563541",
            "telephone_number": "347-862-9092",
            "fax_number": "866-902-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 W 185th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100333102",
            "country_code": "US",
            "telephone_number": "212-928-3900",
            "fax_number": "212-795-0470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "HANNY",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "65006334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03247192",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.