Nicole Hernandez, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

014714 Issued in NY

Practice address

2500 Nesconset Hwy BLDG 15H
Stony Brook, NY 11790-2554

Phone

(631) 689-3005

Fax

(631) 689-1750

NPI assigned

Mar 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shafi Wani,M.D.,P.C.

  • Specialist
  • Stony Brook, NY
  • NPI 1568766095
  NPD (past)

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1275807448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 15H",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902554",
            "telephone_number": "631-689-3005",
            "fax_number": "631-689-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY BLDG 15H",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902554",
            "telephone_number": "631-689-3005",
            "fax_number": "631-689-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Hentschel, ANP
• Claudia Herbert, N.P.
• Nathaniel Herman
• Dana M Hernandez, NP
• Jose L Hernandez
• Edith Michelle Herrera
• Nicole Hershkowitz
• Tyler Alexander Hertz, PHARMD
• Anthony John Hesketh, M.D., M.S.
• Ryan Francis Heslin, MD, MBA

• Physician Assistant in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.