Individual provider Active NPI

David Ormond Hosten, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1194785634
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
148247 Issued in NY
Practice address
1336 Utica Ave FL 2
Brooklyn, NY 11203-5912
Phone
(718) 360-5413
Fax
(718) 360-0637
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 148247 NY Primary

Addresses

Primary practice location

1336 Utica Ave FL 2
Brooklyn, NY 11203-5912

Mailing address

1336 Utica Ave FL 2
Brooklyn, NY 11203-5912
Phone (718) 360-5413

Other identifiers 1

IdentifierTypeStateIssuer
00715386MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323002019 NY Practitioner - Family PracticePractitioner - Internal Medicine 1254222698 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doral Medical and Multi Specialty Facility LLC CurrentSince Oct 1, 2022 Accepting new patients
PPG Anesthesia, PLLC Past Accepting new patients

Locations

1797 Pitkin Ave
Ste 2
Brooklyn, NY 11212
Phone (718) 367-2555

331 Knickerbocker Ave
Ste A
Brooklyn, NY 11237
Phone (347) 286-0741

1797 Pitkin Ave
Brooklyn, NY 11212
Phone (718) 367-2555

5002 Flatlands Ave
Ste C
Brooklyn, NY 11234
Phone (347) 286-0741

Interoperability endpoints

  • Direct secure messaging: david.hosten.1@8947.direct.athenahealth.com

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1194785634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 UTICA AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035912",
            "telephone_number": "718-360-5413",
            "fax_number": "718-360-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 UTICA AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035912",
            "telephone_number": "718-360-5413",
            "fax_number": "718-360-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTEN",
        "first_name": "DAVID",
        "middle_name": "ORMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "148247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00715386",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.