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FERNANDO MEDINA PA-C
NPI 1073006730
Physician Assistant in New York, NY

Active since June 07, 2018PECOS EnrolledAccepts Medicare Assignment
161 FORT WASHINGTON AVE, NEW YORK, NY 10032(212) 312-8532 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2025, Sep 5, 2025, May 15, 2022 (3 updates tracked since 2022).

About Fernando Medina Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FERNANDO MEDINA PA-C (NPI 1073006730) is an individual physician assistant in New York, New York, licensed in New Jersey (25MP00909600) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073006730
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameFERNANDO MEDINACredential: PA-C
Location Address161 FORT WASHINGTON AVENew York, NY 10032-3729
Mailing Address630 W 168th St # 4New York, NY 10032-3725 · (212) 326-8532
Phone(212) 312-8532
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 7, 2018
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1073006730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NJ · 25MP00909600✔ Licensed in NY · 022363
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
161 FORT WASHINGTON AVE, New York, NY 10032
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fernando Medina Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648517243
PECOS Enrollment IDI20260107002830
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAUREEN LICURSI CPNP
Nurse Practitioner (Pediatrics)
161 FORT WASHINGTON AVE, 7TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-2466
BARBARA THERESE ROBBINS APRN-BC
Nurse Practitioner (Family)
161 FORT WASHINGTON AVE, ROOM 661
NEW YORK, NY 10032
New York County (212) 342-0886
VARSHA JOHN
Student in an Organized Health Care Education/Training Program
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-5221
MICHELLE BENGAL PA
Physician Assistant
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (818) 614-2424
DR. NICOLA CORVAJA M.D.
Internal Medicine (Interventional Cardiology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 342-3616
RACHEL CONYBEARE N.P.
Nurse Practitioner (Adult Health)
161 FORT WASHINGTON AVE, HERBERT IRVING PAVILION ROOM # 903
NEW YORK, NY 10032
New York County (212) 305-5275
DR. SUNEETA KRISHNAREDDY MD
Internal Medicine (Gastroenterology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-2323
DAVID M WEINER MD
Urology
161 FORT WASHINGTON AVE, 11TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-0114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fernando Medina's NPI number?

The NPI number for Fernando Medina is 1073006730. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Fernando Medina located?

Fernando Medina practices at 161 Fort Washington Ave, New York, NY 10032. The listed phone number is (212) 312-8532.

What is Fernando Medina's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Fernando Medina enrolled in Medicare?

Yes. Fernando Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Fernando Medina affiliated with any hospitals?

According to CMS data, Fernando Medina is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Fernando Medina was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.