Active NPI
Crystal Lee Hernandez, N.P.
- Adult Health Nurse Practitioner
- Howard Beach, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 306906
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Star Medical Office PC | Current | Accepting new patients | |
| Careathome Medical Practice | Current | Accepting new patients | |
| E & G Heathcare, N.P. in Family Health P.L.L.C. | Current | Accepting new patients | |
| Bastidas Plastic Surgery, PC | Current | Accepting new patients | |
| Urban Family Practice PC | Current | Accepting new patients | |
| Careathome Medical Practice NJ | Current | Accepting new patients | |
| Perfect Health PC | Past | 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
- 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.
-
- Family Nurse Practitioner
- Staten Island, NY
- NPI 1265841894
-
- Internal Medicine Physician
- Forest Hills, NY
- NPI 1760731459
-
- Plastic Surgery Physician
- Paterson, NJ
- NPI 1053724674
-
- Internal Medicine Physician
- Montclair, NJ
- NPI 1659974301
-
- Nephrology Physician
- Paramus, NJ
- NPI 1578284246
-
- Internal Medicine Physician
- New York, NY
- NPI 1891319810
-
- Internal Medicine Physician
- Boston, MA
- NPI 1861815300
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Manhasset, NY
- NPI 1417965278
-
- Home Health Agency
- Westbury, NY
- NPI 1861464471
-
- Home Health Agency
- Valhalla, NY
- NPI 1821184839
-
- Home Health Agency
- New York, NY
- NPI 1528059805
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.