NPIMap

Individual provider Active NPI

Michael Hernandez, M.D.

  • Internal Medicine Physician
  • Fort Lee, NJ
National Provider Identifier
1700830098
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07477500 Issued in NJ
Practice address
6 Horizon Rd
Fort Lee, NJ 07024-6652
Phone
(201) 886-8989
Fax
(201) 886-8990
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07477500 NJ Primary

Addresses

Primary practice location

6 Horizon Rd
Fort Lee, NJ 07024-6652

Mailing address

6 Horizon Rd
Fort Lee, NJ 07024-6652
Phone (201) 886-8989

Other identifiers 1

IdentifierTypeStateIssuer
110245561OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000267 NJ Practitioner - Internal Medicine 5294752663 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians
Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians

Practice addresses (Care Compare)

276 Passaic Ave
Unit a
Kearny, NJ 07032-1129
Phone (201) 719-9371

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 227-6050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07477500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRX Paramus, LLC CurrentSince Jan 31, 2024 Accepting new patients
Excelcare Medical Associates, PA Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Jan 1, 2025 Accepting new patients
Practice Associates Medical Group Internal Medicine Past Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

3 University Plz
Ste 205
Hackensack, NJ 07601

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

276 Passaic Ave
#A
Kearny, NJ 07032
Phone (201) 231-8880

1050 W Edgar Rd
Linden, NJ 07036
Phone 7324041555303

2 Memorial Dr
Lodi, NJ 07644
Phone (551) 837-2051

175 High St
Newton, NJ 07860
Phone (973) 383-2121

222 High St
Ste 205
Newton, NJ 07860
Phone (973) 579-4060

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Organizations & group practices 5

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1700830098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HORIZON RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246652",
            "telephone_number": "201-886-8989",
            "fax_number": "201-886-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HORIZON RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246652",
            "telephone_number": "201-886-8989",
            "fax_number": "201-886-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07477500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110245561",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

Verify at the official NPI Registry.