Individual provider Active NPI

Jesus M Hernandez, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1083750913
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
163969 Issued in NY
Practice address
271 Fort Washington Ave
Suite Aa
New York, NY 10032-1218
Phone
(212) 740-2270
Fax
(212) 923-0908
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 163969 NY Primary
General Practice Physician 208D00000X 163969 NY

Addresses

Primary practice location

271 Fort Washington Ave
Suite Aa
New York, NY 10032-1218

Mailing address

271 Fort Washington Ave
Suite Aa
New York, NY 10032-1218
Phone (212) 740-2270

Other identifiers 1

IdentifierTypeStateIssuer
00922752MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100618000510 NY Practitioner - General PracticePractitioner - Physical Medicine and Rehabilitation 8224168133 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Physical Medicine and Rehabilitation
Education
University Central del Caribe Escuela de Medicina, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

271 Fort Washington Ave
New York, NY 10032-1218
Phone (212) 740-2270

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Merit-based Incentive Payment System (MIPS)

Final score
26.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jesus M. Hernandez, M.D., P.C. Physical Medicine & Rehabilitation 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.

Hospital & facility affiliations 6

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083750913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 FORT WASHINGTON AVE",
            "address_2": "SUITE AA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321218",
            "telephone_number": "212-740-2270",
            "fax_number": "212-923-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FORT WASHINGTON AVE",
            "address_2": "SUITE AA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321218",
            "telephone_number": "212-740-2270",
            "fax_number": "212-923-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JESUS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "163969",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "163969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00922752",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.