Active NPI
Fernando M. Clemente, M.D.
- Specialist
- New York, NY
National Provider Identifier
1588923957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 113349
- Practice address
- 12 E 86TH St
Apt. 908
New York, NY 10028-0506 - Phone
- (212) 535-2675
- NPI assigned
- May 4, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 113349 | NY | Primary |
Addresses
Primary practice location
12 E 86TH St
Apt. 908
New York, NY 10028-0506
Mailing address
12 E 86TH St
Apt. 908
New York, NY 10028-0506
Phone (212) 535-2675
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113349 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336089600000",
"number": "1588923957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 E 86TH ST",
"address_2": "APT. 908",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280506",
"telephone_number": "212-535-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 E 86TH ST",
"address_2": "APT. 908",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280506",
"telephone_number": "212-535-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTE",
"first_name": "FERNANDO",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-04",
"last_updated": "2012-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "113349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.