Manuel Antonio Hernandez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051596-1 Issued in NY

Practice address

24101 Linden Blvd
Elmont, NY 11003-4040

Phone

(516) 792-6082

Fax

(516) 285-0524

NPI assigned

Mar 11, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1184965535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24101 LINDEN BLVD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034040",
            "telephone_number": "516-792-6082",
            "fax_number": "516-285-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24101 LINDEN BLVD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034040",
            "telephone_number": "516-792-6082",
            "fax_number": "516-285-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MANUEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051596-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02579899",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eushanya Henry-East
• Andree Marie Henry, NP
• Jillian Henry
• Farrah Hepburn
• Ismary Hernandez
• Meagan Lorraine Heslop, PHARMD
• Jenean Paige Hill, DPT
• Kathy Hill, RN
• Yequarah Hillsman
• Karlene Hobbs

• General Practice Dentistry in Elmont, NY
• Providers in Elmont, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.