Individual provider Active NPI

Ana Hernandez, NP

  • Pediatric Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1871957258
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
382575 Issued in NY
Practice address
1861 Anthony Ave
Bronx, NY 10457-5903
Phone
(646) 321-5930
NPI assigned
Apr 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 382575 NY Primary

Addresses

Primary practice location

1861 Anthony Ave
Bronx, NY 10457-5903

Mailing address

1861 Anthony Ave
Bronx, NY 10457-5903
Phone (646) 321-5930

Other practice location 1

2061 Saint Raymonds Ave
apt 3a
Bronx, NY 10462-7163
Phone (646) 321-5930

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160721002121 NY Practitioner - Nurse Practitioner 2567755028 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Apr 12, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Apr 12, 2019 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1861 Anthony Ave
Bronx, NY 10457
Phone (718) 583-6444

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ahernande4@montefioredirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1871957258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 ANTHONY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575903",
            "telephone_number": "646-321-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 ANTHONY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104575903",
            "telephone_number": "646-321-5930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2061 Saint Raymonds Ave",
            "address_2": "apt 3a",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104627163",
            "country_code": "US",
            "telephone_number": "646-321-5930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.