Organization Active NPI

Miguel R. Hernandez MD, P.C.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1912286469
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
246969 Issued in NY
Legal business name
MIGUEL R. HERNANDEZ MD, P.C.
Practice address
286 Ft Washington Ave Suite 1B
New York, NY 10032-3108
Phone
(914) 631-2600
Fax
(914) 631-0091
NPI assigned
Aug 15, 2011
Last updated
Dec 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Miguel Rafael Hernandez, M.DNPI 1912173501
Title
Physician
Phone
(718) 323-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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 10032-3108

Mailing address

153 Homewood Ave
Yonkers, NY 10701-5228

Other identifiers 1

IdentifierTypeStateIssuer
03386532MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1912286469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 HOMEWOOD AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015228"
        },
        {
            "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": "100323108",
            "telephone_number": "914-631-2600",
            "fax_number": "914-631-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL R. HERNANDEZ MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-323-5500",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "246969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03386532",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.