Justiniano Manuel Fernandes

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

895 Blue Hill Ave
Dorchester, MA 02124-2902

Phone

(617) 506-8188

Fax

(617) 506-5039

NPI assigned

Jul 19, 2016

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

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1851744486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 DRAPER ST APT 2",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021221723",
            "telephone_number": "617-820-3093",
            "fax_number": "617-506-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 BLUE HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021242902",
            "telephone_number": "617-506-8188",
            "fax_number": "617-506-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "JUSTINIANO",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Felix, LCSW
• Derrick E Felton, MSW
• Luisa Yue Feng
• Cristina Fernandes, RN
• Emmanuel Robert Fernandes
• Keith Edward Fernandes Jr.
• Rachel Jean Fernandes, PHARMD
• Rita M Fernandes
• Sheryl Fernandes, R.N.
• Myra Ferzoco, RPH

• Social Worker in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.