Kristoffer Fernandez, MS

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

9802 62ND Dr
Rego Park, NY 11374-1741

Phone

(347) 249-0963

NPI assigned

Dec 2, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1710703129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9802 62ND DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741741",
            "telephone_number": "718-263-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 62ND DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741741",
            "telephone_number": "347-249-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "KRISTOFFER",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feeling Whole Again Inc.
• Fegs Rego Park MNL HLTH
• Emily Renee Feivor, REGISTERED DIETITIAN
• Rosalyn Regina Hill Ferguson, LMSW
• Jennifer Eileen Fernandez, MSW
• Mariel Fernandez
• Ruth Kimberley Fernandez, M.S.
• Daniel Gregory Ferraro, B.S. IN PHARM
• Angela Christina Ferri, LMHC
• Chassitty Nikole Fiani, PHD

• Specialist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.