Individual provider Active NPI

Annette Dolores-Hernandez, APN, FNP-C

  • Family Medicine Physician
  • Passaic, NJ
National Provider Identifier
1467245464
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26NJ15311400 Issued in NJ
Practice address
381 Madison St FL 1
Passaic, NJ 07055-2908
Phone
(973) 997-6071
NPI assigned
May 23, 2025
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26NJ15311400 NJ Primary

Addresses

Primary practice location

381 Madison St FL 1
Passaic, NJ 07055-2908

Mailing address

381 Madison St FL 1
Passaic, NJ 07055-2908
Phone (973) 997-6071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20251124003288 NJ Practitioner - Nurse Practitioner 8022500305 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

381 Madison St
Passaic, NJ 07055-2908

381 Madison St
Passaic, NJ 07055-2986

PO Box
Boston, MA 02241

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15311400NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital CurrentSince Aug 28, 2025 Accepting new patients
University Hospital CurrentSince Aug 28, 2025 Accepting new patients

Locations

140 Bergen St
#F1776
Newark, NJ 07103
Phone (973) 972-3282

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.

Hospital & facility affiliations 1

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": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1467245464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 MADISON ST FL 1",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552908",
            "telephone_number": "973-997-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 MADISON ST FL 1",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552908",
            "telephone_number": "973-997-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLORES-HERNANDEZ",
        "first_name": "ANNETTE",
        "credential": "APN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NJ15311400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.