JAKE HERNANDEZ


Address: 12333 83rd Ave Apt 2601, Kew Gardens, NY 11415-3439
Phone: 3477248601

JAKE HERNANDEZ (NPI# 1760009062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760009062
Entity Type Individual
Full Name JAKE HERNANDEZ
Practice Address 12333 83rd Ave Apt 2601
Kew Gardens
NY 11415-3439
Practice Telephone 3477248601
Enumeration Date 2020-07-02
Last Update Date 2020-07-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
732427 NY Nursing Service Providers

Office Location

Street Address 12333 83RD AVE APT 2601
City KEW GARDENS
State NY
Zip Code 11415-3439

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700492519 Si Physical Therapy Clinic/Center 119-60 Metropolitan Ave, Kew Gardens, NY 11415 2020-09-17
1760036073 Alina Alayev Nurse Practitioner 123-60 83rd Ave 11d, Kew Gardens, NY 11415 2019-07-25
1659860435 Karolina Pinkhasova Developmental Therapist 11917 83rd Ave, Kew Gardens, NY 11415 2018-05-07
1508395989 Hiral Patel Physician Assistant 125-10 Queens Blvd, Suite 2701, Kew Gardens, NY 11415 2017-06-08
1912432147 Jessica Stefanie Minsky Speech-Language Pathologist 82-34 Kew Gardens Rd, Kew Gardens, NY 11415 2017-04-25
1629426697 Muhammad Usman Physical Therapist 8526 126th St Fl 2, Kew Gardens, NY 11415 2016-05-31
1598126260 Chinonye Benjamin Licensed Practical Nurse 85-35 Leffert Blvd, Kew Gardens, Queens, NY 11415 2016-03-09
1730559105 Mohamed Abaza Physical Therapist 119-05 80th Road, Kew Gardens, NY 11415 2015-09-29
1457737306 Noelle Elizabeth Lenti-nightengale Registered Nurse 124-16 85 Avenue, Kew Gardens, NY 11415 2015-08-03
1871996983 Zinovia Ioannou Dental Hygienist 121-56 Metropolitan Ave, Kew Gardens, NY 11415 2014-10-02
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720688864 Shayna Feuer Registered Nurse 275 Fort Washington Ave Apt 2a, New York, NY 10032-1234 2020-10-28
1932716297 Sonia Somwar Registered Nurse 13163 Francis Lewis Blvd, Laurelton, NY 11413-1844 2020-09-29
1225643885 Colette Kogut Registered Nurse 5130 East Main St Rd, Suite 2, Batavia, NY 14020 2020-09-10
1912519059 Anu Vazhappilly Registered Nurse 356 Central Park Ave Apt E3, Scarsdale, NY 10583-1363 2020-08-19
1336759430 Christopher Colin Fish Registered Nurse 10 County Center Rd, White Plains, NY 10607-1537 2020-08-04
1265041172 Samantha M Joanette Registered Nurse 71 Margaret Terrance Memorial Way, Akwesasne, NY 13655-3236 2020-07-27
1477178192 Edith I Cline Registered Nurse 1204 E 223rd St, Bronx, NY 10466-5802 2020-06-09
1851913453 Ekaterina Prokofieva Registered Nurse 3235 Emmons Ave Apt 625, Brooklyn, NY 11235-1157 2020-05-18
1295357986 Sarah Elizabeth Elkin Registered Nurse 265 Cabrini Blvd Apt 3e, New York, NY 10040-3610 2020-05-15
1437770989 Rukisha Hodge Registered Nurse 1122 E 214th St, Bronx, NY 10469-2412 2020-05-06
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Competitor

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City KEW GARDENS
Zip Code 11415

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Dataset Information

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.

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