Arbor Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

166698 Issued in NY

Legal business name

ARBOR MEDICAL PC

Practice address

6 Presley St
Staten Island, NY 10308-3239

Phone

(718) 984-0969

Fax

(718) 984-4097

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Rose Hernandez, M.D.NPI 1043278047

Title

Director

Phone

(718) 984-0969

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Rose Hernandez, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1043278047
  Medicare reassignment NPD Authorized official
• Christina D'Angelis, P.A.

  • Medical Physician Assistant
  • Staten Island, NY
  • NPI 1417084682
  Medicare reassignment

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1174650444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PRESLEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083239",
            "telephone_number": "718-984-0969",
            "fax_number": "718-984-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PRESLEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083239",
            "telephone_number": "718-984-0969",
            "fax_number": "718-984-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-984-0969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "166698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise A Arambages, APRN,BC
• Larry Arann, PHD
• Juan Carlos Araujo Barraza, PHSICAL THERAPIST
• Kassia Araujo
• Inna Arbit, D.M.D.
• Arc Motion PT P.C.
• Nicole Arcentales, D.O.
• Phoebe Krisell Coronel Arceo
• Samara Archer, LPN
• Lisa Ann Archipoli, MA-CCC,SLP

• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.