Active NPI
Enrique Hernandez, M.D.
- Neurology Physician
- West Orange, NJ
National Provider Identifier
1497994412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA04139000
- Practice address
- 3 Cherrywood Cir
West Orange, NJ 07052-2401 - Phone
- (973) 736-4458
- NPI assigned
- Feb 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA04139000 | NJ | Primary |
| General Practice Physician | 208D00000X | 25MA04139000 | NJ |
Addresses
Primary practice location
3 Cherrywood Cir
West Orange, NJ 07052-2401
Mailing address
3 Cherrywood Cir
West Orange, NJ 07052-2401
Phone (973) 736-4458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04139000 | NJ | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234569600000",
"number": "1497994412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CHERRYWOOD CIR",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522401",
"telephone_number": "973-736-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CHERRYWOOD CIR",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522401",
"telephone_number": "973-736-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-14",
"last_updated": "2009-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA04139000",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NJ",
"license": "25MA04139000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.