ANGIE LORENA HERNANDEZ MD
NPI 1720348105
Pediatrics in Staten Island, NY

Active since May 20, 2012
2066 RICHMOND AVE STE 1L, STATEN ISLAND, NY 10314(718) 982-9001(718) 982-9008 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 1, 2025, May 17, 2016 (2 updates tracked since 2016).

About Angie Lorena Hernandez Md NPPES

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

ANGIE LORENA HERNANDEZ MD (NPI 1720348105) is an individual pediatrics provider in Staten Island, New York, licensed in New York (272686) and active in the NPI registry since May 2012. She maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1720348105
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANGIE LORENA HERNANDEZCredential: MD
Location Address2066 RICHMOND AVE STE 1LStaten Island, NY 10314-3961
Mailing Address2066 Richmond Ave Ste 1lStaten Island, NY 10314-3961 · (718) 982-9001 · Fax (718) 982-9008
Fax(718) 982-9008
Sole ProprietorNo
Enumeration DateMay 20, 2012
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
NPI 1720348105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NY · 272686
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2066 RICHMOND AVE STE 1L, Staten Island, NY 10314

Secondary Practice Location 1

Location 1519 BroadwayStaten Island, NY 10310-2822 · Phone (718) 982-9001 · Fax (718) 982-9008

Other Identifiers 1

Medicaid04255125NY

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 Angie Hernandez's NPI number?

The NPI number for Angie Hernandez is 1720348105. It was assigned to this individual provider in the NPPES registry on May 20, 2012.

Where is Angie Hernandez located?

Angie Hernandez practices at 2066 Richmond Ave Ste 1L, Staten Island, NY 10314. The listed phone number is (718) 982-9001.

What is Angie Hernandez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Angie Hernandez was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.