Dr Jacqueline Hernandez, DO | |
285 Mcclellan St, Perth Amboy, NJ 08861-4319 | |
(732) 719-4333 | |
Not Available |
Full Name | Dr Jacqueline Hernandez |
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Gender | Female |
Speciality | Pediatrics |
Location | 285 Mcclellan St, Perth Amboy, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477780021 | NPI | - | NPPES |
0083691 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MB09124900 (New Jersey) | Primary |
208000000X | Pediatrics | 263560 (New York) | Secondary |
Entity Name | Ocean Health Initiatives, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043306574 PECOS PAC ID: 2062405277 Enrollment ID: O20040405001022 |
Mailing Address | Practice Location Address |
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Dr Jacqueline Hernandez, DO 285 Mcclellan St, Perth Amboy, NJ 08861-4319 Ph: (732) 719-4333 | Dr Jacqueline Hernandez, DO 285 Mcclellan St, Perth Amboy, NJ 08861-4319 Ph: (732) 719-4333 |
Dr. Ofelia Lacson Sarroca, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 New Brunswick Ave, Perth Amboy, NJ 08861 Phone: 732-324-5073 | |
Dr. Natverlal M Patel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 751 Convery Blvd, Perth Amboy, NJ 08861 Phone: 732-442-6995 Fax: 732-442-6994 | |
Dr. Wije Kottahachchi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 468 Amboy Ave, Perth Amboy, NJ 08861 Phone: 732-442-1820 Fax: 732-442-2918 | |
Dr. Darlene H. Forbes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 Hobart St, Perth Amboy, NJ 08861 Phone: 732-376-9333 Fax: 732-324-5765 | |
Dr. Dinorah Calderon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 275 Hobart St, Perth Amboy, NJ 08861 Phone: 732-376-9333 Fax: 732-324-5765 | |
Kalpana Konda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 New Brunswick Ave, Perth Amboy, NJ 08861 Phone: 732-293-2316 Fax: 732-324-3320 |