Amanda Rita Hernandez, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

253091 Issued in MA

Practice address

165 Cambridge St
Charles River Plaza, CPZ 502
Boston, MA 02114-2783

Phone

(617) 643-9179

NPI assigned

Nov 22, 2011

Last updated

Jul 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hernandez.amanda.bwh@direct.partners.masshiway.net

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Andover Forest Post Acute Care Center LLC

  • Skilled Nursing Facility
  • North Andover, MA
  • NPI 1427735257

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Andover Manor Rehab and Nursing LLC

  • Skilled Nursing Facility
  • Andover, MA
  • NPI 1508543331

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership
• Hathorne SNF Operations LLC

  • Skilled Nursing Facility
  • Danvers, MA
  • NPI 1023852167

  Contracted Managing Employee

  CMS ownership
• 22 Tuck Road Operations LLC

  dba Oceanside Skilled Nursing & Rehabilitation

  • Skilled Nursing Facility
  • Hampton, NH
  • NPI 1053561704

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• North Conway SNF Opco LLC

  dba Mineral Springs

  • Skilled Nursing Facility
  • North Conway, NH
  • NPI 1639904923

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Sunbridge Goodwin Nursing Home LLC

  dba Exeter on Hampton Care and Rehabilitation Center

  • Skilled Nursing Facility
  • Exeter, NH
  • NPI 1336196963

  Adp of the SNF

  CMS ownership

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.

• Ipc Hospitalists of New England, P.C.

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1659555266
  Medicare reassignment NPD
• Massachusetts General Physicians Organization Inc

  • Dermatology Physician
  • Boston, MA
  • NPI 1801874573
  Medicare reassignment NPD
• Vantage Healthcare LLC

  dba Vantage Healthcare

  • Internal Medicine Physician
  • Canton, MA
  • NPI 1366903551

  NH

  Medicare reassignment NPD
• Alignmed Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1366289423

  NH

  Medicare reassignment NPD
• Alignmed Partners, PC

  dba GPS Physician Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  NH

  Medicare reassignment NPD
• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Concord, NH
  • NPI 1821011792
  Medicare reassignment NPD
• North Harbor Healthcare PLLC

  • Registered Nurse
  • Woburn, MA
  • NPI 1124990650
  Medicare reassignment
• Brigham and Women's Hospital

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1093885816
  NPD
• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Agawam, MA
  • NPI 1104819259
  NPD
• Ipc Hospitalists of New England PC

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1801330287
  NPD
• Ipc Hospitalists of New England, P.C.

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1932516176
  NPD
• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Towson, MD
  • NPI 1699280511
  NPD

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1891062691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CAMBRIDGE ST",
            "address_2": "CHARLES RIVER PLAZA, CPZ 502",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142783",
            "telephone_number": "617-643-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CAMBRIDGE ST",
            "address_2": "CHARLES RIVER PLAZA, CPZ 502",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142783",
            "telephone_number": "617-643-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "AMANDA",
        "middle_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NH",
            "license": "20262",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "253091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Genevieve Hernandez-Barco, MD
• Ariel Jose Hernandez-Leyva
• Isidra Guadalupe Hernandez-Morelos, LICSW
• Marier D Hernandez-Perez, M.D.
• Alfio J Hernandez, D.D.S., C.A.G.S.
• Amarilis Hernandez
• Anayah Hernandez
• Andrea Hernandez, LICSW
• Andrea I Hernandez, LCSW
• Angelica Mercedes Hernandez

• Geriatric Medicine (Internal Medicine) Physician in Boston, MA
• Providers in Boston, MA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.