Individual provider Active NPI

Stephen Hoody, DC

  • Nutrition Chiropractor
  • New York, NY
National Provider Identifier
1508903188
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
4154 Issued in NY
Practice address
160 Broadway BLDG 6TH Floor
Ste 600
New York, NY 10038-4201
Phone
(212) 227-3350
Fax
(212) 227-3379
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 4154 NY Primary

Addresses

Primary practice location

160 Broadway BLDG 6TH Floor
Ste 600
New York, NY 10038-4201

Mailing address

430 Grant Ave
Oradell, NJ 07649-1838
Phone (201) 225-0143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4154NYMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Health C & PT LLC Current Accepting new patients
Renewed Life Medical LLC Current Accepting new patients

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508903188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 GRANT AVE",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491838",
            "telephone_number": "201-225-0143",
            "fax_number": "212-227-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BROADWAY BLDG 6TH FLOOR",
            "address_2": "STE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384201",
            "telephone_number": "212-227-3350",
            "fax_number": "212-227-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOODY",
        "first_name": "STEPHEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "4154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.