Angelina Hernandez, OSC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

354307427 Issued in NY

Practice address

255 Executive Dr
Plainview, NY 11803-1718

Phone

(516) 756-2040

Fax

(516) 576-2131

NPI assigned

Oct 24, 2016

Sex

Female

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

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1396296505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 COPPERSMITH RD",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564324",
            "telephone_number": "516-577-6402",
            "fax_number": "516-576-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 EXECUTIVE DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031718",
            "telephone_number": "516-756-2040",
            "fax_number": "516-576-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANGELINA",
        "credential": "OSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "354307427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICE PROVIDERS",
            "identifier": "171M00000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Henig, PH.D.
• Henry M Balboa
• Jina Heo
• Kelly Herder
• Kyle Ross Herman, OTR/L
• Nicolas Hernandez, M.D.
• Yesenia Hernandez
• Steven Hershenhorn, DDS
• Adrienne Hezghia, MD, MS
• Margaret Jane Higgins

• Case Manager/Care Coordinator in Plainview, NY
• Providers in Plainview, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.