Organization Active NPI

Judith F Hernaez MD LLC

  • Family Medicine Physician
  • Waipahu, HI
National Provider Identifier
1902576366
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JUDITH F HERNAEZ MD LLC
Practice address
94-873 Farrington Hwy Ste 103
Waipahu, HI 96797-3150
Phone
(808) 677-0774
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Dr. Judith F. HernaezNPI 1124289566
Title
MD
Phone
(808) 677-0774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

94-873 Farrington Hwy Ste 103
Waipahu, HI 96797-3150

Mailing address

94-873 Farrington Hwy Ste 103
Waipahu, HI 96797-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211228002046 HI Part B Supplier - Clinic/Group Practice 1052702156 Receives reassigned benefits from 1 practitioner
Practice locations: Waipahu, HI

National Provider Directory

National Provider Directory

Locations

94-873 Farrington Hwy
Ste 103
Waipahu, HI 96797
Phone (808) 677-0774

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1902576366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-873 FARRINGTON HWY STE 103",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-873 FARRINGTON HWY STE 103",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973150",
            "telephone_number": "808-677-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH F HERNAEZ MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "HERNAEZ",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "808-677-0774",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.