Concepcion G. Hernandez, MD

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

160721-1 Issued in NY

Practice address

625 Delaware Ave
Suite 204, Linwood Community Services
Buffalo, NY 14202

Phone

(716) 882-3151

Fax

(716) 886-4002

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bestself Behavioral Health, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Orchard Park, NY
  • NPI 1891907507
  NPD (past)
• Mental Health Services-Erie County Northwest Corporation I

  • Mental Health Counselor
  • Kenmore, NY
  • NPI 1679698286
  NPD (past)
• Mid Erie Mental Health Services Inc

  • Counselor
  • Cheektowaga, NY
  • NPI 1225095201
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700899036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 DELAWARE AVE",
            "address_2": "SUITE 204, LINWOOD COMMUNITY SERVICES",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14202",
            "telephone_number": "716-882-3151",
            "fax_number": "716-886-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 DELAWARE AVE",
            "address_2": "SUITE 204, LINWOOD COMMUNITY SERVICES",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14202",
            "telephone_number": "716-882-3151",
            "fax_number": "716-886-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CONCEPCION",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "160721-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN",
            "identifier": "160721-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "G31311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordyn Hermelyn
• Lynn Hernan, MD
• Leonardo G. Hernandez-Gomez
• Francisco Hernandez-Ilizaliturri, MD
• Anna Hernandez
• Geraldine Hernandez
• Gilbert Hernandez, PMHNP-BC
• Hilda Hernandez
• Ivette Hernandez, NONE COUNSELOR
• Nicolo Jose Hernandez, PHARMD

• Medical Physician Assistant in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.