Active NPIIndividual provider

Mrs. Nicole Hernandez, MSN, CPNP-PC

Nurse Practitioner, Pediatrics in Fair Lawn, New Jersey

NPI Number1124875158
Practice location
23-00 Route 208 Ste 1-5, Fair Lawn, NJ 07410-1555
Fax
—
Last updated
May 6, 2024

Nicole Hernandez is a Nurse Practitioner, Pediatrics based in Fair Lawn, NJ. Nicole Hernandez practices in Fair Lawn, NJ and has the professional credentials of MSN, CPNP-PC. The NPI Number for Nicole Hernandez is 1124875158 and holds a License No. 26NJ01062400 (NJ). The current practice location address for Nicole Hernandez is 23-00 Route 208 Ste 1-5, Fair Lawn, NJ 07410-1555 and can be reached out via phone at 201-797-1900.

Provider Profile Details

NPI Number
1124875158
Provider Name
Nicole Hernandez
Credential
MSN, CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
23-00 Route 208 Ste 1-5, Fair Lawn, NJ 07410-1555
Phone Number
201-797-1900
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Other Names
Nicole Bacza (Former Name)
Provider Enumeration Date
May 6, 2024
Last Update Date
May 6, 2024
Certification Date
May 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
23-00 Route 208 Ste 1-5
Fair Lawn, NJ 07410-1555
Zip
07410-1555
Phone Number
201-797-1900
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
23-00 Route 208 Ste 1-5
Fair Lawn, NJ 07410-1555
City
Fair Lawn
State
NJ
Zip
07410-1555
Phone Number
201-797-1900

License Information

License Number
26NJ01062400
License State
NJ
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Nicole Hernandez, MSN, CPNP-PC?

The NPI number of Mrs. Nicole Hernandez, MSN, CPNP-PC is 1124875158. It was assigned on May 6, 2024 and is currently active in the NPPES registry.

What is the specialty of Mrs. Nicole Hernandez, MSN, CPNP-PC?

Mrs. Nicole Hernandez, MSN, CPNP-PC is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in NJ under license number 26NJ01062400.

Where does Mrs. Nicole Hernandez, MSN, CPNP-PC practice?

The practice location is 23-00 Route 208 Ste 1-5, Fair Lawn, NJ 07410-1555. The office can be reached at 201-797-1900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124875158 directly on the NPPES registry website.

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