Organization Active NPI

Empire Gastroenterology PLLC

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1669366233
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
EMPIRE GASTROENTEROLOGY PLLC
Practice address
495 Fort Washington Ave Ste Pe1C
New York, NY 10033-4626
Phone
(212) 795-1021
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Dr. Lincoln Hernandez, MDNPI 1932137106
Title
Owner
Phone
(212) 795-1021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

495 Fort Washington Ave Ste Pe1C
New York, NY 10033-4626

Mailing address

495 Fort Washington Ave Ste Pe1C
New York, NY 10033-4626
Phone (212) 795-1021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250721001574 NY Part B Supplier - Clinic/Group Practice 6406362128 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

495 Fort Washington Ave
Ste PE1C
New York, NY 10033
Phone (212) 795-1021

536 Fort Washington Ave
Apt E
New York, NY 10033
Phone (212) 795-1021

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1669366233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 FORT WASHINGTON AVE STE PE1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334626",
            "telephone_number": "212-795-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 FORT WASHINGTON AVE STE PE1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334626",
            "telephone_number": "212-795-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-795-1021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "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 Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.