Hernandez Podiatry P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

HERNANDEZ PODIATRY P.C.

Practice address

85 W Main St
Suite 102
Bay Shore, NY 11706-8345

Phone

(631) 968-6300

Fax

(631) 968-5886

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

William A Hernandez, DPM

Title

Podiatrist

Phone

(631) 968-6300

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Peter Anthony Hernandez, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bay Shore, NY
  • NPI 1295881746
  Medicare reassignment NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1174748677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W MAIN ST",
            "address_2": "SUITE 102",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068345",
            "telephone_number": "631-968-6300",
            "fax_number": "631-968-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W MAIN ST",
            "address_2": "SUITE 102",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068345",
            "telephone_number": "631-968-6300",
            "fax_number": "631-968-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDEZ PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "631-968-6300",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "CS816",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ2956",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01098342",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "11151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Henriques, LMSW
• Lauren Ann Henry, NURSE PRACTITIONER
• Haengyeol Heo
• Jacqueline Hermida, LMHC
• Ana Hernandez Martinez
• Jonice Hernandez, RN
• Peter Anthony Hernandez, DPM
• William Anthony Hernandez, DPM
• Michael Allen Hershey, MD
• Tara Leigh Hertz, AG-ACNP

• Foot & Ankle Surgery Podiatrist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.