Individual ProviderMelissa HernandezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928(732) 828-3000PECOS EnrollmentBased on the most recent information from CMS, provider Melissa Hernandez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1295206217Provider TypeIndividualFull NameHernandez, MelissaGenderFemaleSole ProprietorNoEnumeration Date12/17/2018Last Updated1/19/2021Contact InformationPractice LocationPractice Address1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928Phone(732) 828-3000FaxUnlisted FaxMailing LocationMailing Address148 Valentine Pl, Woodbridge, NJ 07095-3025PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ00885400New Jersey