Active NPI
Keith R Hoerning, D.O.
- Family Medicine Physician
- Lindenhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 223257
- Practice address
- 290 Sunrise Hwy
Lindenhurst, NY 11757-2520 - Phone
- (631) 226-3600
- Fax
- (631) 226-3607
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 223257 | NY | Primary |
Addresses
Primary practice location
290 Sunrise Hwy
Lindenhurst, NY 11757-2520
Mailing address
67 Lee Ave
Babylon, NY 11702-4210
Phone (631) 539-2594
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
290 Sunrise Hwy
Lindenhurst, NY 11757-2520
Hospital & facility affiliations
- Catholic Home Care
- Peconic Bay Homehealth Services
- Good Samaritan Hospital Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223257 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Medical Center | Past | Accepting new patients |
Interoperability endpoints
- keith.hoerning.1@3609.direct.athenahealth.com
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Lindenhurst, NY
- NPI 1396437802
-
- Family Medicine Physician
- Lindenhurst, NY
- NPI 1407234362
-
- Medical Physician Assistant
- Lindenhurst, NY
- NPI 1023326634
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.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Riverhead, NY
- NPI 1932155678
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1164517413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 LEE AVE",
"city": "BABYLON",
"state": "NY",
"postal_code": "117024210",
"telephone_number": "631-539-2594",
"fax_number": "631-539-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 SUNRISE HWY",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117572520",
"telephone_number": "631-226-3600",
"fax_number": "631-226-3607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOERNING",
"first_name": "KEITH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "223257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.