Pedro J Hernandez Sr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D102037400 Issued in NJ

Practice address

491 21 Avenue First Floors
Suite # 2
Paterson, NJ 07513-1656

Phone

(973) 247-9700

Fax

(973) 247-9781

NPI assigned

Sep 29, 2006

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

Other names 1

• Dr. Pedro J Hernandez Sr. Professional name

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275625824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HERNANDEZ DENTAL OFFICE",
            "address_2": "491 21 AVENUE FIRST FLOORS",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075131656",
            "telephone_number": "973-247-9700",
            "fax_number": "973-247-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 21 AVENUE FIRST FLOORS",
            "address_2": "SUITE # 2",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075131656",
            "telephone_number": "973-247-9700",
            "fax_number": "973-247-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "PEDRO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102037400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8393206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEDRO",
            "last_name": "HERNANDEZ",
            "middle_name": "J",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Naser Hendi, MD
• Sara Henen, MD
• Giselle Henriquez
• Henry Slomowitz DPM
• Andrea Carolina Hernandez Rios, MD
• Sabrina Clare Higgins, M.D.
• Hijos de Dios Learning Center
• Mulham Hindawi, MD
• Vijay Hiremath, MD
• Hispanic Council on Social Policy Center for Community Development

• General Practice Dentistry in Paterson, NJ
• Providers in Paterson, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.