Active NPI
Daniel Hernandez
- Athletic Trainer
- Flushing, NY
National Provider Identifier
1740945567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 002282-1
- Practice address
- 6530 Kissena Blvd
Flushing, NY 11367-1575 - Phone
- (718) 570-0516
- NPI assigned
- Nov 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 447922 | NY | |
| Athletic Trainer | 2255A2300X | 002282-1 | NY | Primary |
Addresses
Primary practice location
6530 Kissena Blvd
Flushing, NY 11367-1575
Mailing address
2903 Old Yorktown Rd
Yorktown Heights, NY 10598-2317
Phone (914) 479-9639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 447922 | NY | MD | Basic Emergency Medical Technician |
| 002282-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1740945567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2903 OLD YORKTOWN RD",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105982317",
"telephone_number": "914-479-9639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6530 KISSENA BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671575",
"telephone_number": "718-570-0516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-05",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "NY",
"license": "447922",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "002282-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.