DR. JOHN FERNANDES (NPI# 1073589883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073589883 |
| Entity Type | Individual |
| Full Name | DR. JOHN FERNANDES |
| Practice Address |
3959 Broadway Columbia University Departmt .pediatric New York NY 10032-1559 |
| Mailing Address |
9 Koewing Pl West Orange NY 10032 |
| Practice Telephone | 2123047250 |
| Practice Fax Number | 2125441974 |
| Mailing Telephone | 2123047250 |
| Mailing Fax Number | 2125441974 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2010-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
175252 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE PTAN | 002673 | 01 |
| NY | 01851101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437705951 | John Luis Fernandes | Family Medicine | 212 Hamptons Green Nw, Calgary, ALBERTA T3A5A8 | 2019-08-12 |
| 1538138169 | John J Fernandes | Pathology | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2006-03-16 |
| Street Address |
3959 BROADWAY COLUMBIA UNIVERSITY DEPARTMT .PEDIATRIC |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453647 | Karen Altmann | Pediatrics | 3959 Broadway, 2north, New York, NY 10032-1559 | 2005-08-10 |
| 1619575271 | Ismail Bouhout | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3959 Broadway, Chn-274, Pediatric and Congenital Cardiac Surgery, New York, NY 10032 | 2020-10-15 |
| 1104433366 | Rebecca Silverman | Social Worker | 3959 Broadway, New York, NY 10032-1559 | 2020-09-30 |
| 1508473679 | Alexa Rose Geltzeiler | Genetic Counselor, MS | 3959 Broadway, New York, NY 10032-1559 | 2020-09-23 |
| 1518571967 | Melody Cabalda-galliguez | Nurse Practitioner | 3959 Broadway, New York, NY 10032-1559 | 2020-09-02 |
| 1003424318 | Hae Lin Son | Nurse Practitioner | 3959 Broadway, New York, NY 10032-1559 | 2020-07-22 |
| 1164049318 | Stephanie Galloway | Genetic Counselor, MS | 3959 Broadway, New York, NY 10032-1559 | 2020-07-02 |
| 1730702556 | Erica Shirin Spiegel | Genetic Counselor, MS | 3959 Broadway, New York, NY 10032-1559 | 2020-05-27 |
| 1235751967 | Alexander Edward Joseph Zajac | Registered Nurse | 3959 Broadway, New York, NY 10032-1559 | 2020-05-15 |
| 1427679083 | Ashley Clarke | Nurse Practitioner | 3959 Broadway, New York, NY 10032-1559 | 2020-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669731055 | Ian Hovis | Pediatrics | 208 E 82nd St, Apt 22, New York, NY 10028-2725 | 2012-05-07 |
| 1780975029 | Jamie K. Harrington | Pediatrics | 3959 Broadway # Chn-2, New York, NY 10032-1559 | 2011-04-20 |
| 1922397421 | Erin Paul | Pediatrics | 3959 Broadway # Chn 2-253, New York, NY 10032-1559 | 2011-04-05 |
| 1386964419 | Amee Shah | Pediatrics | 545 W 110th St, Apt 6f, New York, NY 10025-2015 | 2010-06-11 |
| 1134442999 | Ivan G Dimich | Pediatrics | 201east79thstreetsuite, 20 E, New York, NY 10075-0836 | 2010-03-09 |
| 1902059207 | Jeffrey Dayton | Pediatrics | 525 E 68th St # F-695b, Box 104, New York, NY 10065-4870 | 2008-10-30 |
| 1356592760 | Eugenie F Doyle | Pediatrics | 32 Washington Sq. West, New York, NY 10011 | 2008-10-03 |
| 1376562017 | Gillian L. Henry | Pediatrics | 160 E 32nd St Fl 2, Pediatric Carrdiology, New York, NY 10016-6004 | 2006-07-19 |
| 1609847425 | Young Sun Diane Rhee | Pediatrics | Columbia University Depatment Pediatrics, 3959 Broadway, New York, NY 10032 | 2006-01-30 |
| 1467453647 | Karen Altmann | Pediatrics | 3959 Broadway, 2north, New York, NY 10032-1559 | 2005-08-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.