Individual provider Active NPI

Ashley Marie Hendrock, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1053041657
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348917 Issued in NY
Practice address
161 E Gun Hill Rd
Bronx, NY 10467-2160
Phone
(718) 882-0597
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0028576 OH
Family Nurse Practitioner 363LF0000X 348917 NY Primary

Addresses

Primary practice location

161 E Gun Hill Rd
Bronx, NY 10467-2160

Mailing address

161 E Gun Hill Rd
Bronx, NY 10467-2160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0028576OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HP Medical Care PC CurrentSince Feb 2, 2023 Accepting new patients

Locations

161 E Gun Hill Rd
Bronx, NY 10467
Phone (718) 547-2011

11620 Queens Blvd
Forest Hills, NY 11375
Phone (718) 401-1510

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1053041657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672160",
            "telephone_number": "718-882-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDROCK",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0028576",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.