Individual provider Active NPI

Crystal Lee Hernandez, N.P.

  • Adult Health Nurse Practitioner
  • Howard Beach, NY
National Provider Identifier
1316330103
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
306906 Issued in NY
Practice address
15641 79TH St
Howard Beach, NY 11414-2502
Phone
(347) 754-1245
NPI assigned
Mar 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306906 NY Primary

Addresses

Primary practice location

15641 79TH St
Howard Beach, NY 11414-2502

Mailing address

34 Roosevelt Ave
Unit B
Carteret, NJ 07008-2417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210914002902 NY Practitioner - Nurse Practitioner 7719265511 Reassigns benefits to 3 organizations
I20240425002704 NJ Practitioner - Nurse Practitioner 7719265511 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
E and G Heathcare, N.P. in Family Health P.L.L.C..Group PAC ID 3476876681, 4 clinicians

Practice addresses (Care Compare)

209 Steinway Ave
Staten Island, NY 10314-4820
Phone (718) 698-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Five Star Medical Office PC CurrentSince Jul 1, 2024 Accepting new patients
Careathome Medical Practice CurrentSince Jul 1, 2024 Accepting new patients
E & G Heathcare, N.P. in Family Health P.L.L.C. CurrentSince Jul 29, 2025 Accepting new patients
Bastidas Plastic Surgery, PC CurrentSince Mar 19, 2024 Accepting new patients
Urban Family Practice PC CurrentSince Jul 1, 2024 Accepting new patients
Careathome Medical Practice NJ CurrentSince Jul 1, 2024 Accepting new patients
Perfect Health PC PastSince Jun 9, 2024 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

228 Roseberry St
Ste 5
Phillipsburg, NJ 08865
Phone (908) 213-3433

277 Route 70
Ste 231
Toms River, NJ 08755
Phone (212) 516-2300

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

169 Madison Ave
Ste 2829
New York, NY 10016

209 Steinway Ave
Staten Island, NY 10314
Phone (718) 698-6700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: ms_cherna51@landmarkhealth-direct.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1316330103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ROOSEVELT AVE",
            "address_2": "UNIT B",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070082417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15641 79TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142502",
            "telephone_number": "347-754-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CRYSTAL",
        "middle_name": "LEE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

Verify at the official NPI Registry.