MEDICARE: JAMES FERNANDES II

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	2547266	NY

General Provider Information

NPI Number	:	1164970257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES FERNANDES II

Provider Business Mailing Address
First Line	:	10 WINSTON LN
Second Line	:
City	:	PORT JEFFERSON STATION
State	:	NY
Zip	:	11776-3324
Country	:	US
Telephone Number	:	631-525-6004
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 WINSTON LN
Second Line	:
City	:	PORT JEFFERSON STATION
State	:	NY
Zip	:	11776-3324
Country	:	US
Telephone Number	:	631-525-6004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2016
Last Update Date	:	09/17/2016

Similar Medicare Providers

1952480998 — MR. DANNY KEITH PETERSON DC
Practice Location Address:

601 E MCCARTY ST
JEFFERSON CITY, MO
65101-3324

Practice Phone: 573-634-3245
Practice Fax:

1750777256 — CAROL FONTENOT
Practice Location Address:

3324 AUDUBON TRCE
JEFFERSON, LA
70121-1588

Practice Phone: 504-834-6771
Practice Fax: 504-309-7845

1366633992 — LAUREL SAVOY RD, LD, CDE
Practice Location Address:

2115 CANNOLOT BLVD
PORT CHARLOTTE, FL
33948-3324

Practice Phone: 941-624-4823
Practice Fax: 941-624-4823

1073792834 — JONES HOUSE INC.
Practice Location Address:

8115 JASMINE BLVD
PORT RICHEY, FL
34668-3324

Practice Phone: 727-861-0715
Practice Fax: 727-862-9228

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

Directions to “ JAMES FERNANDES II ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.