Individual provider Active NPI

Krista Hoefling

  • Social Worker
  • Bay Shore, NY
National Provider Identifier
1114041753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R042370-1 Issued in NY
Practice address
9 Fourth Avenue
Bay Shore, NY 11706
Phone
(631) 665-6707
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R042370-1 NY Primary

Addresses

Primary practice location

9 Fourth Avenue
Bay Shore, NY 11706

Mailing address

7 Terry Lane
Plainview, NY 11803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208001097 NY Practitioner - Clinical Social Worker 8628029436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

21 4TH Ave
Bay Shore, NY 11706-7908
Phone (631) 665-6707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R042370-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of Rockville Centre CurrentSince Oct 1, 1984 Accepting new patients
Catholic Charities of the Diocese of Rockville Centre CurrentSince Oct 1, 1984 Accepting new patients

Locations

21 4th Ave
Bay Shore, NY 11706
Phone (631) 665-6707

9 4th Ave
Bay Shore, NY 11706
Phone (631) 665-6707

333 N Main St
Freeport, NY 11520
Phone (516) 623-3322

90 Cherry Ln
Hicksville, NY 11801
Phone (516) 733-7040

Organizations & group practices 2

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114041753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TERRY LANE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "11803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FOURTH AVENUE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-665-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEFLING",
        "first_name": "KRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R042370-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.