Avraham Y. Henoch, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

168125 Issued in NY

Practice address

564 W 160TH St
New York, NY 10032-6702

Phone

(212) 740-6400

Fax

(212) 740-4555

NPI assigned

Dec 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

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 2

Specialty

Family Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDFIAD/Endpoint/EDFIAD
• FHIR API: https://fhir4.healow.com/fhir/r4/EDFIAD

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.

• Avraham Y Henoch MD PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1003062266
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1235113044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 W 160TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100326702",
            "telephone_number": "212-740-6400",
            "fax_number": "212-740-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 W 160TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100326702",
            "telephone_number": "212-740-6400",
            "fax_number": "212-740-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENOCH",
        "first_name": "AVRAHAM",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "168125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01009012",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Hennessy
• Nils Hennig, M.D
• Claire Hennigan, M.D.
• Justin Henning, MD
• Henny Frankel Inc.
• Debra Henri, LPC, LMHC
• Lorraine Eleanor Henricks, MD
• Bryan Henriques
• Chivonne S Henriques, DPT
• Valesia C Henriques, PA-C

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.

Verify at the official NPI Registry.