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Deactivated NPI 1730166869 Deactivated / Inactive NPI Male Practitioner

Ted O Hernandez , PA

Physician Assistant • Oceanside, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ted Hernandez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 29, 2005
NPI Deactivation Date August 19, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Ted Hernandez, PA was a registered Physician Assistant practicing in Oceanside, NY. Throughout an active medical career spanning 16 years, Ted Hernandez provided care at the practice location at 1 HEALTHY WAY until profile deactivation on 2021-08-19.

Practice Location & Contact Primary Location

Practice Address

1 Healthy Way

Oceanside, NY 115721551

Telephone 5166323900
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Oceanside, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
61 Specialists

Practicing in Oceanside, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 006551-1

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Dr. Mark Stillman , MD

Emergency Medicine

NPI 1063490811

Doctor of Medicine (M.D.)

Sana Baig

Nurse Practitioner - Family

NPI 1124788120
Navjot Kaur , PA-C

General Acute Care Hospital

NPI 1225381700

Physician Assistant (Certified)

Dr. Joshua Kugler , MD

Emergency Medicine

NPI 1255318515

Doctor of Medicine (M.D.)

Dr. Teddy Lee , DO

Emergency Medicine

NPI 1265410542

Doctor of Osteopathic Medicine (D.O.)

Carlos Coello , PA-C

Physician Assistant

NPI 1356819635

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 19, 2021

Record deactivated on August 19, 2021

NPI Profile Active July 11, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 11, 2008

Registered at 1 HEALTHY WAY, OCEANSIDE, NY 115721551 (Tel: 5166323900)

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Updated Business Mailing Address July 11, 2008

Registered at 341 LIDO PKWY, LINDENHURST, NY 117576306 (Tel: 6312261405)

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Provider Name / Credentials Updated July 11, 2008

Recorded as TED HERNANDEZ, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2008

Physician Assistant (License #006551-1 in NY)

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Initial NPI Registration & Enumeration December 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730166869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2005
Last Update: July 11, 2008
Deactivation Date: August 19, 2021

Mailing Address

341 Lido Pkwy

Lindenhurst, NY 117576306

Phone: 6312261405

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.