Individual provider Active NPI

Lennie Hobenson

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1144228206
Registry record updated May 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
210050 Issued in NY
Practice address
1115 Ocean Pkwy
1St Floor
Brooklyn, NY 11230-4073
Phone
(718) 252-5300
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 210050 NY Primary

Addresses

Primary practice location

1115 Ocean Pkwy
1St Floor
Brooklyn, NY 11230-4073

Mailing address

1762 McDonald Ave
Brooklyn, NY 11230-6907
Phone (646) 515-9968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000197 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7517954993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
210050NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Anesthesia Provider , PC Past Accepting new patients
Ez Medhealth Care PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685232000000",
    "number": "1144228206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306907",
            "telephone_number": "646-515-9968",
            "fax_number": "718-252-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 OCEAN PKWY",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304073",
            "telephone_number": "718-252-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBENSON",
        "first_name": "LENNIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2023-05-28",
        "certification_date": "2023-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "210050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.