Dorothy Fernandez, CHIROPRACTOR

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

X008911-1 Issued in NY

Practice address

1749 Victory Blvd
Second Floor
Staten Island, NY 10314-3544

Phone

(718) 608-5651

NPI assigned

Mar 20, 2007

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

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1457476228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140924",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103140924",
            "telephone_number": "718-608-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 VICTORY BLVD",
            "address_2": "SECOND FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143544",
            "telephone_number": "718-608-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "X008911-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tashawna Ferguson, OTR/L
• Emilee Ferlita, OTR/L
• Ruben A Fermin, L.C.S.W.
• Anna Marie Fernandez, OD
• Diana Fernandez
• Erica Fernandez
• Ericka V Fernandez
• Lori Fernandez, OTR/L
• Madeleine Claver Fernando-Adag
• Annmarie D Fernando, MD

• Rehabilitation Chiropractor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Rehabilitation Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.