Individual provider Active NPI

Jason Richard Hernandez, MD

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1578059622
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
324031 Issued in NY
Practice address
1250 67TH St
Brooklyn, NY 11219-5921
Phone
(872) 231-3162
Fax
(702) 977-1496
NPI assigned
Jul 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 324031 NY Primary

Addresses

Primary practice location

1250 67TH St
Brooklyn, NY 11219-5921

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Other practice location 1

691 92nd St
Brooklyn, NY 11228-3619
Phone (872) 231-3162

Other practice location 2

140 Saint Edwards St
Brooklyn, NY 11201-3904
Phone (872) 231-3162

Other practice location 3

450 Clarkson Ave # Msc30
Brooklyn, NY 11203-2012
Phone (718) 270-8128

Other practice location 4

2266 Cropsey Ave
Brooklyn, NY 11214-5706
Phone (872) 231-3162

Other identifiers 1

IdentifierTypeStateIssuer
07886542MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429003180 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 6709135049 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16 Sumner PL
Brooklyn, NY 11206-4110
Phone 71895188002102

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
324031NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Sep 1, 2024 Accepting new patients
Parcare Community Health Network Inc CurrentSince Sep 1, 2024 Accepting new patients
National Health Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Apr 10, 2024 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

380 Henry St
Brooklyn, NY 11201
Phone (718) 237-1717

691 92nd St
Brooklyn, NY 11228
Phone (718) 567-1000

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

140 Saint Edwards St
Brooklyn, NY 11201
Phone (718) 858-6400

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2577 Nostrand Ave
Brooklyn, NY 11210
Phone (718) 258-1812

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

1250 67th St
Brooklyn, NY 11219
Phone (718) 232-2322

1270 67th St
Brooklyn, NY 11219
Phone (718) 232-2322

2266 Cropsey Ave
Brooklyn, NY 11214
Phone (347) 543-8487

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

3515 Parsons Blvd
Flushing, NY 11354
Phone (718) 961-3500

7120 110th St
Forest Hills, NY 11375
Phone (718) 305-1190

25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332

32 Cedar Ln
Ossining, NY 10562
Phone (914) 762-1600

900 Main St
Roosevelt Island, NY 10044
Phone (212) 848-6000

700 E Brighton Ave
Syracuse, NY 13205
Phone (315) 469-5570

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1578059622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 67TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195921",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "691 92nd St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112283619",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Saint Edwards St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112013904",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Clarkson Ave # Msc30",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-270-8128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2266 Cropsey Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112145706",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JASON",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "324031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07886542",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.