Individual provider Active NPI

Lourdes Hermano, M.D.

  • Psychiatric Hospital
  • Flushing, NY
National Provider Identifier
1144369158
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
NY113878 Issued in NY
Practice address
15038 Union Tpke
Apt. 8S
Flushing, NY 11367-3948
Phone
(718) 380-0136
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NY113878 NY Primary

Addresses

Primary practice location

15038 Union Tpke
Apt. 8S
Flushing, NY 11367-3948

Mailing address

15038 Union Tpke
Apt. 8S
Flushing, NY 11367-3948
Phone (718) 380-0136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NY113878NYMDPsychiatric Hospital

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144369158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15038 UNION TPKE",
            "address_2": "APT. 8S",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673948",
            "telephone_number": "718-380-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15038 UNION TPKE",
            "address_2": "APT. 8S",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673948",
            "telephone_number": "718-380-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANO",
        "first_name": "LOURDES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "NY113878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.