Active NPI
John Fernandez, D.C.
- Orthopedic Chiropractor
- Woodside, NY
National Provider Identifier
1083734032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- C-007735-6B
- Practice address
- 4322 50TH St
Suite 1-B
Woodside, NY 11377-4442 - Phone
- (718) 424-4455
- Fax
- (718) 478-8672
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | C-007735-6B | NY | |
| Sports Physician Chiropractor | 111NS0005X | C-007735-6B | NY | |
| Orthopedic Chiropractor | 111NX0800X | C-007735-6B | NY | Primary |
Addresses
Primary practice location
4322 50TH St
Suite 1-B
Woodside, NY 11377-4442
Mailing address
1 Pia CT
Hauppauge, NY 11788-3461
Phone (631) 793-2087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376750 | Other | NY | CIGNA HEALTHCARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140403000679 | NY | Order and Referring Only - Sports Medicine | 9032340120 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-007735-6B | NY | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Healthnet, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Woodside, NY
- NPI 1376665356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1083734032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PIA CT",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883461",
"telephone_number": "631-793-2087",
"fax_number": "718-478-8672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4322 50TH ST",
"address_2": "SUITE 1-B",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774442",
"telephone_number": "718-424-4455",
"fax_number": "718-478-8672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "NY",
"license": "C-007735-6B",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NY",
"license": "C-007735-6B",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "NY",
"license": "C-007735-6B",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "1376750",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.