Roger Hernandez

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1190 Kelly CT
Valley Stream, NY 11580-1514

Phone

(347) 567-6686

NPI assigned

Jan 14, 2013

Last updated

Jan 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1073850731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 KELLY CT",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801514",
            "telephone_number": "347-567-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 KELLY CT",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801514",
            "telephone_number": "347-567-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ROGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Henson, BSN, RN
• Guisela Maria Hernandez, M.D.
• Hilda R Hernandez, LCSW
• Mary Hernandez
• Rafael C Hernandez, M.D., D.O.
• Catherine Patricia Herr, TSHH, CCC-SLP
• Karen Herrmann, LCSW
• Abraham Herzberg, DPM
• Trisha Hewitt, RN
• HG PT OT PLLC

• Specialist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.