Phala Hoeun, CPO

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO03567 Issued in DE

Practice address

130 W Kingsbridge Rd Dept 3E-15
Bronx, NY 10468-3904

Phone

(718) 584-9000

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1417523424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 AUSTIN ST APT 2K",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W KINGSBRIDGE RD DEPT 3E-15",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683904",
            "telephone_number": "718-584-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEUN",
        "first_name": "PHALA",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "CPO03567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Hodrick, LMSW
• Wendy Hoe, CASAC-T
• Eleanor G Hoenig, LCSW
• Jessica Hoenig
• Johnathan Aryeh Hoenig, MD
• Hoffman Oncology PLLC
• Alicia Hoffman, LCSW
• Amy Hoffman, MD
• Barbara Hoffman, PA-C
• Carl M Hoffman, MD

• Prosthetic/Orthotic Supplier in Bronx, NY
• Providers in Bronx, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.