Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ramon Omar Rodriguez Hernandez

Individual provider Medical Physician Assistant · NPI 1720565310

Ramon Omar Rodriguez Hernandez is a Physician Assistant in Port Jefferson Station, New York. Qualified in 2017, 9 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
9
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1500 Route 112 Ste C
Port Jefferson Station, NY 11776-8054
Phone: (631) 732-9090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Madison Ave, Morristown, NJ 07960-6136 — (973) 971-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1720565310
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 26, 2018
Last updated in NPPESJuly 26, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Port Jefferson Station