Individual provider Active NPI

Miguel Rafael Hernandez, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1912173501
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
246969 Issued in NY
Practice address
286 Ft Washington Ave Suite 1B
New York, NY 10032
Phone
(917) 557-1748
NPI assigned
May 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 246969 NY Primary

Addresses

Primary practice location

286 Ft Washington Ave Suite 1B
New York, NY 10032

Mailing address

153Homewood Ave
Yonkers, NY 10701
Phone (917) 557-1748

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080908000031 NY Practitioner - Psychiatry 2466528948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

286 Fort Washington Ave
1B
New York, NY 10032-1316
Phone (212) 927-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
246969NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Mount Vernon Hospital CurrentSince Nov 6, 2013 Accepting new patients
Global Psychiatric Services, PC Psychiatry CurrentSince Dec 5, 2012 Accepting new patients
Audubon Medical Practice, PC Past Accepting new patients
Trustees of Columbia University in Department of Psychiatry Psychiatry PastSince Feb 1, 2003 Accepting new patients
Mih Victory Inc PastSince Mar 1, 2016 Accepting new patients

Locations

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

286 Fort Washington Ave
Apt 1B
New York, NY 10032
Phone (212) 568-7403

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22787/brand/1/csg/1/fhir/r4
  • Direct secure messaging: miguel.hernandez.2@22787.direct.athenahealth.com

Organizations & group practices 5

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": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1912173501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153HOMEWOOD AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "917-557-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 FT WASHINGTON AVE SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "917-557-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MIGUEL",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-02",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "246969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.