Avraham Y Henoch MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

168125 Issued in NY

Legal business name

AVRAHAM Y HENOCH MD PC

Practice address

564 W 160TH St
New York, NY 10032-6702

Phone

(212) 740-6400

Fax

(212) 740-4105

NPI assigned

Aug 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Avraham Y. Henoch, M.D.NPI 1235113044

Title

Owner

Phone

(212) 740-6400

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDFIAD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avraham Y. Henoch, M.D.

  • Family Medicine Physician
  • New York, NY
  • NPI 1235113044
  Medicare reassignment NPD Authorized official
• Daniel E. Beyda, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1437136579
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1003062266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683746",
            "telephone_number": "718-563-0500",
            "fax_number": "718-563-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 W 160TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100326702",
            "telephone_number": "212-740-6400",
            "fax_number": "212-740-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVRAHAM Y HENOCH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "HENOCH",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-740-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "168125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03184603",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01009012",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giacomo Avolio, MD
• Avondale Care Group LLC
• Avondale Care Group LLC
• Alba Avoricani, MD
• Avperiodontics PLLC
• Tomer Avraham, M.D.
• Neshama Avrahami, NP
• Emma Stephanie Avram
• Vivienne Avramoff, MD
• Amina Avril, MD

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.