Individual provider Active NPI

Nicolay F. Hernandez, D.O

  • Emergency Medicine Physician
  • Plantation, FL
National Provider Identifier
1730529124
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS14647 Issued in FL
Practice address
8201 W Broward Blvd
Plantation, FL 33324-2701
Phone
(954) 473-6600
NPI assigned
Jun 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS14647 FL Primary

Addresses

Primary practice location

8201 W Broward Blvd
Plantation, FL 33324-2701

Mailing address

12035 Lake House LN
Parkland, FL 33076-2991
Phone (914) 849-8489

Other practice location 1

Baptist Health Emergency Center at Country Walk
14150 SW 136th street
Miami, FL 33186
Phone (786) 204-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170918001031 FL Practitioner - Emergency Medicine 7214201094 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emed LLPGroup PAC ID 1557259975, 28 clinicians

Practice addresses (Care Compare)

10125 Glades Rd
Boca Raton, FL 33498-6739
Phone (561) 309-7815

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • HCA Florida Lehigh Hospital Hospital, Lehigh Acres, FL, CCN 100107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14647FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Emergent Physicians of Country Walk, LLC Emergency Medicine CurrentSince Sep 15, 2020 Accepting new patients
E-Med LLP CurrentSince Dec 1, 2024 Accepting new patients
Inphynet South Broward LLC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Emergent Physicians of Miami Lakes, LLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Emergent Physicians of Palmetto Bay, LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Emergent Physicians of West Dade, LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Emergent Physicians of Doral, LLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Shi Keys LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

10125 Glades Rd
Boca Raton, FL 33498
Phone (561) 309-7815

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533

14100 SW 136th St
Miami, FL 33186
Phone (305) 204-4600

14591 SW 26th St
Miami, FL 33175
Phone (786) 204-4600

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

15200 NW 77th Ct
Miami Lakes, FL 33016
Phone (786) 595-1800

8750 SW 144th St
Ste 100
Palmetto Bay, FL 33176
Phone (305) 253-5585

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000

Organizations & group practices 12

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 2

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": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1730529124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12035 LAKE HOUSE LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762991",
            "telephone_number": "914-849-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242701",
            "telephone_number": "954-473-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Baptist Health Emergency Center at Country Walk",
            "address_2": "14150 SW 136th street",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "country_code": "US",
            "telephone_number": "786-204-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "NICOLAY",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS14647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.