Diana Fernandez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

015763-1 Issued in NY

Practice address

116 Lamberts LN
Staten Island, NY 10314-7210

Phone

(718) 370-0422

NPI assigned

Jul 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Josiane Lederman, MD PCGroup PAC ID 3870483332, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dfernandez@directaddress.net

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.

• Josiane Lederman, MD PC

  • Specialist
  • Staten Island, NY
  • NPI 1366597395
  Medicare reassignment Care Compare group
• Dial Doc Now Medical Group PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1386245702
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1932455029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LAMBERTS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LAMBERTS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147210",
            "telephone_number": "718-370-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "DIANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015763-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Tawana Ferguson
• Tashawna Ferguson, OTR/L
• Emilee Ferlita, OTR/L
• Ruben A Fermin, L.C.S.W.
• Anna Marie Fernandez, OD
• Dorothy Fernandez, CHIROPRACTOR
• Erica Fernandez
• Ericka V Fernandez
• Lori Fernandez, OTR/L
• Madeleine Claver Fernando-Adag

• Physician Assistant in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.