Active NPI
William Anthony Hernandez, DPM
- Foot & Ankle Surgery Podiatrist
- Bay Shore, NY
National Provider Identifier
1578669693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 3933
- Practice address
- 85 W Main St
Suite 102
Bay Shore, NY 11706-8345 - Phone
- (631) 968-6300
- Fax
- (631) 968-5886
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 3933 | NY | Primary |
Addresses
Primary practice location
85 W Main St
Suite 102
Bay Shore, NY 11706-8345
Mailing address
85 W Main St
Suite 102
Bay Shore, NY 11706-8345
Phone (631) 968-6300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01098342 | Medicaid | NY | |
| 480032633 | Other | NY | RAILROAD MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3933 | NY | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1578669693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 W MAIN ST",
"address_2": "SUITE 102",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068345",
"telephone_number": "631-968-6300",
"fax_number": "631-968-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 W MAIN ST",
"address_2": "SUITE 102",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068345",
"telephone_number": "631-968-6300",
"fax_number": "631-968-5886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "WILLIAM",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "3933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01098342",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480032633",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.