Serena Marie Fernandez-Wallace, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009610-1 Issued in NY

Practice address

199 Oakwood Rd
Huntington, NY 11743-4213

Phone

(631) 425-0500

Fax

(631) 425-3399

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Serena Marie Fernandez Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Monroe Wellness Center LLCGroup PAC ID 6901107267, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Monroe Wellness Center, LLC

  • Chiropractor
  • Monroe, NJ
  • NPI 1245646371
  Medicare reassignment Care Compare group NPD
• Palluzzi Chiropractic, P.a.

  • Chiropractor
  • Old Bridge, NJ
  • NPI 1427304823
  Medicare reassignment NPD
• Huntington Chiropractic Health & Wellness,P.C.

  • Chiropractor
  • Huntington, NY
  • NPI 1043426679
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578687208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 OAKWOOD RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434213",
            "telephone_number": "631-425-0500",
            "fax_number": "631-425-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 OAKWOOD RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434213",
            "telephone_number": "631-425-0500",
            "fax_number": "631-425-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-WALLACE",
        "first_name": "SERENA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009610-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERENA",
            "last_name": "FERNANDEZ",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy B Feldman, MS, CCC
• Bruce Lawrence Feldman, M.D.
• Ekaterina Femminella, ACUPUNCTURIST, MASSA
• Barbara Fendel, MSSW
• Christine Fermo, BCBA
• Tanairy Fernandez, LMHC
• Raul Fernando, MD
• Anthony Thomas Ferrandino, LCSW
• Theresa A Ferrante, LMT
• Donata Ferrari, DNP

• Chiropractor in Huntington, NY
• Providers in Huntington, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.