Provider Demographics
NPI:1326024951
Name:HERNANDEZ, ALEJANDRO M (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:M
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8325 KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-4205
Mailing Address - Country:US
Mailing Address - Phone:201-951-8265
Mailing Address - Fax:
Practice Address - Street 1:8325 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-4205
Practice Address - Country:US
Practice Address - Phone:201-861-2025
Practice Address - Fax:201-861-2262
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00622100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3954903OtherAETNA HMO
NJ7414713OtherAETNA PPO
NJ0024457Medicaid
NJP3610662OtherOXFORD HEALTH PLANS
NJ081073T9NMedicare PIN