MEDICARE: MS. MYRIAM I HERNANDEZ PNP

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	363LP0200X	Pediatric Nurse Practitioner	26NN07754800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8103607	OTHER	NJ	PROVIDER NUMBER

General Provider Information

NPI Number	:	1881698603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MYRIAM I HERNANDEZ PNP

Provider Business Mailing Address
First Line	:	14 ROTUNDA LN
Second Line	:
City	:	SOUTH RIVER
State	:	NJ
Zip	:	08882-2714
Country	:	US
Telephone Number	:	732-376-6032
Fax Number	:	732-376-6288

Provider Business Practice Location Address
First Line	:	D1 BRIER HILL CT
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-3335
Country	:	US
Telephone Number	:	732-238-3310
Fax Number	:

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/20/2007

Similar Medicare Providers

1568436848 — DR. KENNETH JAY FREEDMAN DC
Practice Location Address:

BRIER HILL COURT , D6
EAST BRUNSWICK, NJ
08816-3335

Practice Phone: 732-254-6011
Practice Fax: 732-254-7271

1457435646 — DR. STEVEN EUNSIK KIM M.D.
Practice Location Address:

D5 BRIER HILL CT
EAST BRUNSWICK, NJ
08816-3335

Practice Phone: 732-432-7400
Practice Fax: 732-432-7401

1598844383 — FREEDMAN CHIROPRACTIC CENTER LLC
Practice Location Address:

D6 BRIER HILL CT
EAST BRUNSWICK, NJ
08816-3335

Practice Phone: 732-254-6011
Practice Fax: 732-254-7271

1396864385 — DR. STEVEN IRA DYCKMAN MD
Practice Location Address:

D4 BRIER HILL CT
EAST BRUNSWICK, NJ
08816-3335

Practice Phone: 732-238-7711
Practice Fax: 732-238-1977

1881813301 — STEVEN E KIM M D P A
Practice Location Address:

D5 BRIER HILL CT
EAST BRUNSWICK, NJ
08816-3335

Practice Phone: 732-432-7400
Practice Fax: 732-432-7401

1760707095 — DENINE D BRUZZO LCSW
Practice Location Address:

D4 BRIER HILL CT
EAST BRUNSWICK, NJ
08816-3335

Practice Phone: 732-333-8671
Practice Fax:

Directions to “ MS. MYRIAM I HERNANDEZ PNP” 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 © 2007-2025 (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.