Individual provider Active NPI

Stephanie Hernandez, RN

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1457111528
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
356216 Issued in NY
Practice address
97 Arden St Apt 1D
New York, NY 10040-1123
Phone
(646) 234-5943
NPI assigned
Mar 19, 2024
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 356216 NY Primary
School Registered Nurse 163WS0200X 698643 NY

Addresses

Primary practice location

97 Arden St Apt 1D
New York, NY 10040-1123

Mailing address

97 Arden St Apt 1D
New York, NY 10040-1123
Phone (646) 234-5943

Other names 1

  • Stephanie Monge Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250820000693 NY Practitioner - Nurse Practitioner 8426557026

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17 W 9TH St
Brooklyn, NY 11231-2501

51 Merritt Ave
Dumont, NJ 07628-2616

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
698643NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
City NP Med Health Family CurrentSince Mar 24, 2024 Accepting new patients
Beacon Health Medical PC CurrentSince Jul 7, 2025 Accepting new patients

Locations

17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1457111528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 ARDEN ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401123",
            "telephone_number": "646-234-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ARDEN ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401123",
            "telephone_number": "646-234-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "STEPHANIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "356216",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "698643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MONGE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.