Active NPI
Lynn Hernan, MD
- Pediatric Critical Care Medicine Physician
- Buffalo, NY
National Provider Identifier
1669567749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 189246
- Practice address
- 219 Bryant St
Pediatric Critical Care Unit
Buffalo, NY 14222-2006 - Phone
- (716) 878-7442
- Fax
- (716) 878-7101
- NPI assigned
- Oct 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 189246 | NY | Primary |
Addresses
Primary practice location
219 Bryant St
Pediatric Critical Care Unit
Buffalo, NY 14222-2006
Mailing address
4511 Harlem Rd
Suite 202
Amherst, NY 14226-3822
Phone (716) 839-6720
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01339151 | Medicaid | NY | |
| 0014385880001 | Other | NY | PA MEDICAID |
| 040426000964 | Other | NY | FIDELIS |
| 9409269 | Other | NY | IHA |
| 2640780 | Other | NY | OHIO MEDICAID |
| 00010075901 | Other | NY | UNIVERA |
| 000524363001 | Other | NY | BC/BS |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Past | Accepting new patients | |
| University at Buffalo Pediatric Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1427007046
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1669567749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 HARLEM RD",
"address_2": "SUITE 202",
"city": "AMHERST",
"state": "NY",
"postal_code": "142263822",
"telephone_number": "716-839-6720",
"fax_number": "716-839-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 BRYANT ST",
"address_2": "PEDIATRIC CRITICAL CARE UNIT",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222006",
"telephone_number": "716-878-7442",
"fax_number": "716-878-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNAN",
"first_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NY",
"license": "189246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01339151",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA MEDICAID",
"identifier": "0014385880001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426000964",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "9409269",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID",
"identifier": "2640780",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010075901",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000524363001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.