Brett Kevin Hodshon, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00755000 Issued in NJ

Practice address

33 Elcock Ave
Boonton, NJ 07005-8806

Phone

(973) 402-1331

NPI assigned

May 7, 2019

Last updated

May 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back2Motion Chiropractic LLCGroup PAC ID 1355810953, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Back2Motion Chiropractic LLC

  dba Dynamic Chiropractic Care

  • Chiropractor
  • Kinnelon, NJ
  • NPI 1467230888
  Medicare reassignment Care Compare group
• 7Bear Services, LLC

  dba Morris Spine and Sport

  • Chiropractor
  • Morristown, NJ
  • NPI 1629573738
  NPD
• Emerson Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Emerson, NJ
  • NPI 1659837607
  NPD
• Maywood Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Maywood, NJ
  • NPI 1568840080
  NPD

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1326603168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ELCOCK AVE",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ELCOCK AVE",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070058806",
            "telephone_number": "973-402-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODSHON",
        "first_name": "BRETT",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00755000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38MC00755000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Hassanzadeh
• Hawkins Dental Care
• Hawkins Dental Care LLC
• Janine Heinis
• Hennessy Medical Professional Corporation (Boonton Foot and Ankle)
• Linda Jean Hogoboom, MS, OTR/L
• Rebecca J Horan, LCSW
• Gabrielle Huresky
• Imago Dei Behavioral Health Incorporated
• Iraj Nejat, M.D. ,F.a.a.P.,P.a.

• Sports Physician Chiropractor in Boonton, NJ
• Providers in Boonton, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.