JUSTIN F FERNANDO (NPI# 1962549311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962549311 |
| Entity Type | Individual |
| Full Name | JUSTIN F FERNANDO |
| Credential | MD |
| Practice Address |
976 Mclean Ave Suite 387 Yonkers NY 10704-4105 |
| Practice Telephone | 9142376797 |
| Practice Fax Number | 9142064950 |
| Mailing Telephone | 9142376797 |
| Mailing Fax Number | 9142064950 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2009-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA03977300 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | RAILROAD MEDICARE | P00440594 | 01 |
| NJ | 0469505 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477095040 | Justin Fernando | Student in an Organized Health Care Education/Training Program | 15100 Se 38th St, Bellevue, WA 98006-1728 | 2016-11-13 |
| Street Address |
976 MCLEAN AVE SUITE 387 |
| City | YONKERS |
| State | NY |
| Zip Code | 10704-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275582181 | East Coast Wound Care P C | Specialist | 976 Mclean Ave, Suite 387, Yonkers, NY 10704-4105 | 2006-05-08 |
| 1447671854 | Hampton Home Care | Durable Medical Equipment & Medical Supplies | 976 Mclean Ave, Suite #168, Yonkers, NY 10704-4105 | 2014-01-02 |
| 1194086090 | Rashida Richards | Specialist | 976 Mclean Ave, Suite 219, Yonkers, NY 10704-4105 | 2012-06-06 |
| 1891004222 | Hari Radhakrishnan | Specialist | 976 Mclean Ave, Suite 387, Yonkers, NY 10704-4105 | 2010-10-04 |
| 1346554524 | East Coast Wound Care, P.C. | Specialist | 976 Mclean Ave, Ste 387, Yonkers, NY 10704-4105 | 2010-07-30 |
| 1255645438 | West Coast Wound Care Inc | Specialist | 976 Mclean Ave, Suite 387, Yonkers, NY 10704-4105 | 2010-07-30 |
| 1326350166 | East Coast Wound Care, P.C. | Specialist | 976 Mclean Ave, Suite 387, Yonkers, NY 10704-4105 | 2010-07-09 |
| 1346561768 | East Coast Wound Care, P.C. | Specialist | 976 Mclean Ave, Suite 387, Yonkers, NY 10704-4105 | 2010-06-21 |
| 1083935407 | West Coast Wound Care, Inc | Specialist | 976 Mclean Ave, Suite 387, Yonkers, NY 10704-4105 | 2010-06-21 |
| 1275774341 | Rosanna L. Wustrack | Surgery | 976 Mclean Ave, Suite 387, Yonkers, NY 10704-4105 | 2009-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518482488 | Chaison Baker | Counselor | 648 Bronx River Road, Yonkers, NY 10704 | 2017-08-11 |
| 1144759432 | Simone Ferreira Parker | Nurse Practitioner | 40 College Place, 2nd Floor, Yonkers, NY 10704 | 2017-06-08 |
| 1457885295 | Jacky Mari Cervantes | Physical Therapist | 909 Midland Ave, Ground Floor, Yonkers, NY 10704 | 2017-04-19 |
| 1720512627 | Gould Chiropractic Pllc | Chiropractor | 125 Crescent Place, Yonkers, NY 10704 | 2017-04-18 |
| 1659828721 | Malgorzata Lukomska | Nurse Practitioner | 541n Bronx River Rd, 8e, Yonkers, NY 10704 | 2016-09-07 |
| 1073964987 | Mustafa Alkhandak | Dentist | 172 Murray Ave, Yonkers, NY 10704 | 2016-06-22 |
| 1497119754 | Arline Mangiamele | Hearing Instrument Specialist | 1006 Mclean Ave, Yonkers, NY 10704 | 2016-04-12 |
| 1396139887 | Sadaf Mumtaz | Family Medicine | 1010 Central Park Avenue, Yonkers, NY 10704 | 2015-03-24 |
| 1639577869 | Georgina M Puente | Registered Nurse | 73 Alexander Avenue, Yonkers, NY 10704 | 2014-12-22 |
| 1083033922 | Frances Nelson | Technician, Other | C/o 6 Pellbridge Drive, Hopewell, NY 10704 | 2014-04-08 |
| Find all providers in zip 10704 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326663113 | Michelle Babian | Specialist | 1020 Warburton Ave, Yonkers, NY 10701-1200 | 2020-06-08 |
| 1114549045 | Victoria Marie Kieltyka | Specialist | 48 Gavin St Apt 2f, Yonkers, NY 10701-5670 | 2020-05-14 |
| 1689296451 | Ashley D Collado | Specialist | 18 Loudoun St Apt 2, Yonkers, NY 10705-4395 | 2020-05-14 |
| 1912534306 | Jo Ann Bloomberg | Specialist | 134 Colonial Pkwy N, Yonkers, NY 10710-3133 | 2020-03-25 |
| 1831723147 | Sharon Sayegh | Specialist | 1120 Mile Square Rd, Yonkers, NY 10704-1622 | 2020-02-25 |
| 1598302762 | Regina Mollo | Specialist | 277 Bronx River Rd Apt 7e, Yonkers, NY 10704-3738 | 2019-12-05 |
| 1316596901 | Louis Mazzullo | Specialist | 68 Briggs Ave, Yonkers, NY 10701-5602 | 2019-09-06 |
| 1245889955 | Devenish De La Rosa | Specialist | 10 Gerri Ln, Yonkers, NY 10703-1609 | 2019-09-05 |
| 1922560176 | Julie Anne Siragusa | Specialist | 1408 Nepperhan Ave, Yonkers, NY 10703-1015 | 2019-04-04 |
| 1184182685 | Courtney Adams | Specialist | 49 Gold St, Yonkers, NY 10701-2234 | 2019-03-04 |
| Find all providers in YONKERS | ||||
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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.