Dr. John Fernandes
Pediatric Cardiologist
3959 Broadway Columbia University Departmt .pediatric
New York
, New York 10032-1559
Dr. John Fernandes
Pediatric Cardiologist
3959 Broadway Columbia University Departmt .pediatric
New York
, New York 10032-1559
(212) 544-1974
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. John Fernandes
- 9 Koewing Pl
- West Orange, NY
- Zip : 10032
- Fax : (212) 544-1974
- Phone : (212) 304-7250
Second Address
- Dr. John Fernandes
- 3959 Broadway Columbia University Departmt .pediatric
- New York, NY
- Zip : 10032-1559
- Fax : (212) 544-1974
- Phone : (212) 304-7250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 175252 | NY |
National Provider Identifier
| NPI | 1073589883 |
|---|---|
| Provider Name | Dr. John Fernandes |
| First Address | West Orange, NY 10032 |
| Second Address | New York, NY 10032-1559 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2006 |
| Last Update Date | 10/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002673 | MEDICARE PTAN (01) | NJ |
| 01851101 | (05) | NY |
| F98635 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.