Active NPI
Michelle Alexis Hernandez
- Community Health/Public Health Clinical Nurse Specialist
- Union City, NJ
National Provider Identifier
1871280032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health/Public Health Clinical Nurse Specialist
- License
- 26NP07951300
- Practice address
- 3508 Kennedy Blvd
Union City, NJ 07087-2525 - Phone
- (201) 864-9129
- NPI assigned
- Apr 19, 2023
- Last updated
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X | 26NP07951300 | NJ | Primary |
Addresses
Primary practice location
3508 Kennedy Blvd
Union City, NJ 07087-2525
Mailing address
43 Bergen Blvd
Fairview, NJ 07022-1968
Phone (201) 681-6254
Other names 1
- Michelle Alexis Hernandez
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 |
|---|---|---|---|
| 26NP07951300 | NJ | MD | Community Health/Public Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3508 Kennedy Blvd
Union City, NJ 07087
Phone (201) 864-9129
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1871280032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 BERGEN BLVD",
"city": "FAIRVIEW",
"state": "NJ",
"postal_code": "070221968",
"telephone_number": "201-681-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3508 KENNEDY BLVD",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070872525",
"telephone_number": "201-864-9129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MICHELLE",
"middle_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-19",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "364SC1501X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Community Health/Public Health",
"state": "NJ",
"license": "26NP07951300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "HERNANDEZ",
"middle_name": "ALEXIS",
"credential": "LPN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Union City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.