Organization Active NPI

Patricia W. Hermogenes, MD PC

  • Family Medicine Physician
  • Jamaica, NY
National Provider Identifier
1730402074
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
188841 Issued in NY
Legal business name
PATRICIA W. HERMOGENES, MD PC
Practice address
13701 83Rd Ave
1B
Jamaica, NY 11435-1562
Phone
(718) 847-3501
Fax
(718) 847-4706
NPI assigned
Mar 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Dr. Patricia Wong Hermogenes, MDNPI 1023174596
Title
President
Phone
(718) 847-3501

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 188841 NY Primary

Addresses

Primary practice location

13701 83Rd Ave
1B
Jamaica, NY 11435-1562

Mailing address

13701 83Rd Ave
1B
Jamaica, NY 11435-1562
Phone (718) 847-3501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100823000855 NY Part B Supplier - Clinic/Group Practice 0345374633 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

13701 83rd Ave
Apt 1B
Jamaica, NY 11435
Phone (718) 523-7186

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1730402074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 83RD AVE",
            "address_2": "1B",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351562",
            "telephone_number": "718-847-3501",
            "fax_number": "718-847-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 83RD AVE",
            "address_2": "1B",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351562",
            "telephone_number": "718-847-3501",
            "fax_number": "718-847-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA W. HERMOGENES, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "HERMOGENES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "WONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-847-3501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "188841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.