Ivan Hernandez MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

093218-1 Issued in NY

Legal business name

IVAN HERNANDEZ MD PC

Practice address

1367 Union St
Schenectady, NY 12308-3019

Phone

(518) 382-9585

Fax

(518) 382-9685

NPI assigned

Jan 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Aurelio Hernandez, MD FACS CWS FCCWS

Title

President

Phone

(518) 382-9585

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• VascularCare Doing business as

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1194703199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 UNION STREET",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123084019",
            "telephone_number": "518-382-9585",
            "fax_number": "518-382-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123083019",
            "telephone_number": "518-382-9585",
            "fax_number": "518-382-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN HERNANDEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "AURELIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-382-9585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACS CWS FCCWS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "093218-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "SP0208",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00569195",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "093218-6W",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VascularCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Lynn Isabelle, OTR/L
• Victoria Isabelle
• Joseph Isgro, RPAC
• Marisa Ishkanian
• Azuka S Itabor, M.D.
• Kathleen M. Ives-Kline, CCC-SLP
• J&a Hurley, Inc.
• Eugene Robert Jackey Jr., RPH
• Amelia Ellen Jackson, OT
• Diane Jackson

• Surgery Physician in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.