DR. JOHN ROBERT FERNANDEZ (NPI# 1770518920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770518920 |
| Entity Type | Individual |
| Full Name | DR. JOHN ROBERT FERNANDEZ |
| Credential | M.D. |
| Practice Address |
3155 Grace Ave Bronx NY 10469-3134 |
| Mailing Address |
16215 Highland Ave Jamaica NY 11432-3452 |
| Practice Telephone | 7183798100 |
| Mailing Telephone | 7183798100 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 227988 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02496211 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528518172 | John Fernandez Jr. | Case Manager/Care Coordinator | 4777 Bennett Dr, Las Vegas, NV 89121-6907 | 2016-10-06 |
| 1417224296 | John Patrick Fernandez | Internal Medicine | 28 Morgan Hill Dr, Doylestown, PA 18901-2980 | 2011-11-22 |
| 1083734032 | John Fernandez | Chiropractor | 4322 50th St, Suite 1-b, Woodside, NY 11377-4442 | 2007-03-30 |
| 1811467103 | John Fernandez | Physician Assistant | 9040 Jackson Ave, Tacoma, WA 98431-2357 | 2018-11-28 |
| 1134652357 | John David Fernandez | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2017-04-05 |
| 1992198709 | John Fernandez | Physical Therapist | 425 Nursing Home Dr, Arcadia, FL 34266-3839 | 2015-03-18 |
| 1639561871 | John Justin Fernandez | Marriage & Family Therapist | 232 E Gish Rd, San Jose, CA 95112-4706 | 2015-02-25 |
| 1629334735 | John Fernandez | Counselor | 720 University Ave, Las Vegas, NM 87701-4250 | 2012-04-03 |
| 1902183437 | John Fernandez | Physical Therapist | 3000 Richmond Ave, 100, Houston, TX 77098-3102 | 2011-11-11 |
| 1316171408 | John Gregory Fernandez | Surgery | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2009-05-05 |
| Street Address |
3155 GRACE AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10469-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016307 | Kamell Norfleet | Occupational Therapist | 3155 Grace Ave, Bronx, NY 10469-3134 | 2020-02-22 |
| 1215561840 | Marsha Josephine Bissent-blanford | Occupational Therapist | 3155 Grace Ave, Bronx, NY 10469-3134 | 2020-02-22 |
| 1699310326 | Onyekachi Anosike | Occupational Therapy Assistant | 3155 Grace Ave, Bronx, NY 10469-3134 | 2019-11-18 |
| 1104337542 | Jamaica Acquisition IIi LLC | Home Health | 3155 Grace Ave, Bronx, NY 10469-3134 | 2017-10-12 |
| 1013383520 | Workmens Circle Dialysis Management LLC | Clinic/Center | 3155 Grace Ave, Bronx, NY 10469-3134 | 2015-08-19 |
| 1649664665 | Morningside Acquisition I LLC | Home Health | 3155 Grace Ave, Bronx, NY 10469-3134 | 2015-03-27 |
| 1710328380 | Jopal Bronx LLC | Skilled Nursing Facility | 3155 Grace Ave, Bronx, NY 10469-3134 | 2013-07-11 |
| 1023453826 | Silver Town At Grace Avenue Day Care Center LLC | Clinic/Center | 3155 Grace Ave, Bronx, NY 10469-3134 | 2013-05-07 |
| 1376880690 | Workmens Circle Dialysis Center Inc | Clinic/Center | 3155 Grace Ave, Bronx, NY 10469-3134 | 2013-01-07 |
| 1801117247 | Jerrymias Homeres Ranario | Occupational Therapist | 3155 Grace Ave, Bronx, NY 10469-3134 | 2010-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1437705720 | Wafaa Khoury | Behavioral Analyst | Important Steps,inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
| 1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
| 1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
| 1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
| 1316422546 | Leon Anibal Guzman | Registered Nurse | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
| 1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
| 1720578719 | Kimberly Carrion Alicea | Psychologist | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
| 1235627993 | Kayon Donaldson | Nurse Practitioner | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
| 1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
| Find all providers in zip 10469 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020012 | Rr Medical Office Pllc | Internal Medicine | 1447 Zerega Ave, Bronx, NY 10462-5411 | 2020-10-13 |
| 1619574126 | Throggs Neck Medical Pllc | Internal Medicine | 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 | 2020-10-07 |
| 1144794314 | Mohammed Shofiullah Shibli | Internal Medicine | 2500 Frisby Ave Apt 24d, Bronx, NY 10461-3247 | 2019-01-21 |
| 1740781905 | Bk Medical Care P.c | Internal Medicine | 2000 Mcgraw Ave, Bronx, NY 10462-8070 | 2018-02-23 |
| 1043738586 | Diabetes Relief Center of Bronx Mso LLC | Internal Medicine | 2825 3rd Ave Ste 200, Bronx, NY 10455-4066 | 2017-09-05 |
| 1790137388 | Sabrina Brana | Internal Medicine | 4422 Third Ave Mills Bldg 3rd, Bronx, NY 10457 | 2016-07-07 |
| 1386096345 | Christopher James Brana | Internal Medicine | 4422 Third Ave, Mills Bldg 3rd, Bronx, NY 10457 | 2016-07-01 |
| 1982068078 | Silvio Goris | Internal Medicine | 3400 Tibbett Ave, Apt 2f, Bronx, NY 10463-3766 | 2016-04-05 |
| 1710349816 | Rikhil S Kochhar | Internal Medicine | 3010 Grand Concourse Apt L3, Bronx, NY 10458-1534 | 2016-03-28 |
| 1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on DR. JOHN ROBERT FERNANDEZ.
| 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.