Edward Fernandez

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

25618 Issued in NY

Practice address

103 E 125TH St FL 8
New York, NY 10035-1641

Phone

(212) 774-3210

NPI assigned

Jan 27, 2017

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124565288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 125TH ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351641",
            "telephone_number": "212-774-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 125TH ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351641",
            "telephone_number": "212-774-3210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Arthur Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104576305",
            "country_code": "US",
            "telephone_number": "718-466-8954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "25618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Raquel Fernandez, M.D.
• Dana Fernandez
• David Rafael Fernandez, M.D., PH.D.
• Deanna Alysse Fernandez, MHC-LP
• Diana Fernandez, LMSW
• Erika Fernandez, N.P.
• Francesca Fernandez
• Gabrielle Fernandez
• Gerardo J Fernandez, M.D.
• Gregory Fernandez

• Addiction (Substance Use Disorder) Counselor in New York, NY
• Providers in New York, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.