Active NPI
Carolina Fernandez, PA
- Physician Assistant
- Weston, FL
National Provider Identifier
1598914871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9104757
- Practice address
- 191 Lakeview Dr Apt 101
Weston, FL 33326-2565 - Phone
- (954) 809-1497
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 031259 | NY | |
| Physician Assistant | 363A00000X | PA9104757 | FL | Primary |
Addresses
Primary practice location
191 Lakeview Dr Apt 101
Weston, FL 33326-2565
Mailing address
191 Lakeview Dr Apt 101
Weston, FL 33326-2565
Phone (954) 809-1497
Other names 1
- Carolina Fernandez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1612 Central Ave
Suite 201
Far Rockaway, NY 11691-4002
Phone (516) 792-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Medical Associates PC | Current | Accepting new patients | |
| CGH Medical Center | Past | Accepting new patients |
Locations
1612 Central Ave
Ste 201
Far Rockaway, NY 11691
Phone (516) 792-1600
1612 Central Ave
Far Rockaway, NY 11691
Phone (718) 223-5820
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.
-
- Multi-Specialty Clinic/Center
- Far Rockaway, NY
- NPI 1538642996
-
- Dermatology Physician
- South Miami, FL
- NPI 1497806459
-
- Internal Medicine Physician
- Stuart, FL
- NPI 1750756276
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1598914871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 LAKEVIEW DR APT 101",
"city": "WESTON",
"state": "FL",
"postal_code": "333262565",
"telephone_number": "954-809-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 LAKEVIEW DR APT 101",
"city": "WESTON",
"state": "FL",
"postal_code": "333262565",
"telephone_number": "954-809-1497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "CAROLINA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "031259",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9104757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINA",
"last_name": "FERNANDEZ",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.