Individual provider Active NPI

Christine Patricia Hiscock, LMSW

  • Specialist
  • Bethpage, NY
National Provider Identifier
1093084824
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
064637 Issued in NY
Practice address
10 Cherry Ave
Bethpage, NY 11714-1501
Phone
(516) 644-4020
Fax
(516) 644-4129
NPI assigned
Dec 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 064637 NY Primary

Addresses

Primary practice location

10 Cherry Ave
Bethpage, NY 11714-1501

Mailing address

10 Cherry Ave
Bethpage, NY 11714-1501
Phone (516) 644-4020

Other names 1

  • Mrs. Christine Patricia Hiscock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
064637NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bethpage Union Free School District Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1093084824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHERRY AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141501",
            "telephone_number": "516-644-4020",
            "fax_number": "516-644-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHERRY AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141501",
            "telephone_number": "516-644-4020",
            "fax_number": "516-644-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISCOCK",
        "first_name": "CHRISTINE",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "064637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "HISCOCK",
            "middle_name": "PATRICIA",
            "prefix": "MRS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.