Active NPI
John Robert Fernandez, M.D.
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1770518920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 227988
- Practice address
- 3155 Grace Ave
Bronx, NY 10469-3134 - Phone
- (718) 379-8100
- NPI assigned
- Jul 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 227988 | NY | Primary |
Addresses
Primary practice location
3155 Grace Ave
Bronx, NY 10469-3134
Mailing address
16215 Highland Ave
Jamaica, NY 11432-3452
Phone (718) 379-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02496211 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
55 -36
Maspeth, NY 11378-1856
Phone (718) 533-0029
Hospital & facility affiliations
- VNS of Ny Home Care Chha
- Emerest Home Health Care of Long Island
- North Shore Home Care Chha
- NYU Langone Hospitals
- New York-Presbyterian/Queens
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.45 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 81.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227988 | NY | MD | Internal Medicine Physician |
Practice roles (5 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John R Fernandez MD PLLC | Internal Medicine | Current | Accepting new patients |
| Mission City Community Network, Inc. | Past | Accepting new patients | |
| Gabriel F. Deangelis MD PC | Internal Medicine | Past | Accepting new patients |
| Mission City Community Network, Inc. | Past | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Maspeth, NY
- NPI 1457681314
Internal Medicine, NY
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1164870739
-
- Community Health Clinic/Center
- North Hills, CA
- NPI 1710370747
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Manhasset, NY
- NPI 1417965278
-
- Home Health Agency
- Westbury, NY
- NPI 1861464471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770518920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16215 HIGHLAND AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323452",
"telephone_number": "718-379-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 GRACE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104693134",
"telephone_number": "718-379-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "JOHN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "227988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02496211",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.