Justin Lee Hernandez, ATC,LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00314000 Issued in NJ

Practice address

150A Tices LN
East Brunswick, NJ 08816-2015

Phone

(732) 838-7547

NPI assigned

Dec 19, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1942912241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MUNDY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162664",
            "telephone_number": "848-219-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150A TICES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162015",
            "telephone_number": "732-838-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JUSTIN",
        "middle_name": "LEE",
        "credential": "ATC,LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00314000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Hendrix, PA
• Rania Ishak Henen, PHARMACIST
• Sandra Henry
• Noah Hercky, LMFT
• Deepali Herlekar
• Myriam I Hernandez, PNP
• Jonnell Heron, LSW
• Pnina Herskovits, M.D.
• Anita Hicks
• Melissa Higgins, L.C.S.W.

• Athletic Trainer in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.