Individual provider Active NPI

James Hodge, AG-ANCP-BC

  • Acute Care Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1558810309
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
LP-0000348 Issued in DE
Practice address
1436 Williamsbridge Rd
Bronx, NY 10461-2507
Phone
(646) 759-5459
NPI assigned
Sep 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X LP-0000348 DE Primary
Acute Care Nurse Practitioner 363LA2100X R192286 MD
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X F432016-01 NY

Addresses

Primary practice location

1436 Williamsbridge Rd
Bronx, NY 10461-2507

Mailing address

3026 Tiemann Ave
Bronx, NY 10469-3216
Phone (410) 608-5376

Other identifiers 3

IdentifierTypeStateIssuer
P2257OtherFLMEDICARE HF
022631800MedicaidFL
008372OtherCTCT LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190411000166 PA Practitioner - Nurse Practitioner 0648559070 Reassigns benefits to 2 organizations
I20200917000093 CT Practitioner - Nurse Practitioner 0648559070 Reassigns benefits to 1 organization
I20241101000232 NY Practitioner - Nurse Practitioner 0648559070 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronx Medical Practice PCGroup PAC ID 9739496100, 136 clinicians

Practice addresses (Care Compare)

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
008372CTMDClinical Social Worker
APRN9461696FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Multi-Specialty CurrentSince May 4, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 12, 2020 Accepting new patients
Essen Medical Associates, PC Multi-Specialty CurrentSince Aug 29, 2024 Accepting new patients
Wellspan Medical Group Multi-Specialty CurrentSince May 4, 2021 Accepting new patients
Fayette Physician Network Inc Multi-Specialty CurrentSince Feb 10, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Multi-Specialty CurrentSince Jul 12, 2020 Accepting new patients
Essen Medical Associates,PC Multi-Specialty CurrentSince Aug 29, 2024 Accepting new patients
Wellspan Medical Group Multi-Specialty Current Accepting new patients
House Call Medical Services of New York, PLLC Multi-Specialty CurrentSince Aug 29, 2024 Accepting new patients
Family Care Centers Inc. Multi-Specialty Current Accepting new patients
Family Care Centers Inc Multi-Specialty CurrentSince Dec 24, 2019 Accepting new patients
Essen Medical Associates, PC Multi-Specialty Current Accepting new patients
Bronx Medical Practice P.C. Multi-Specialty CurrentSince Aug 29, 2024 Accepting new patients
Fayette Physician Network Inc Multi-Specialty Current Accepting new patients
Fayette Physician Network Inc Multi-Specialty CurrentSince Feb 10, 2019 Accepting new patients
Shore Hospitalists Associates P.a. Multi-Specialty PastSince Aug 6, 2017 Accepting new patients

Locations

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

2015 Grand Concourse
#13202
Bronx, NY 10453

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

1436 Williamsbridge Rd
Bronx, NY 10461
Phone (646) 759-5453

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1001 S George St
Fl 2
York, PA 17403
Phone (717) 851-2914

Networks

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

Interoperability endpoints

  • Direct secure messaging: jhodge483522@direct.umm.edu
  • Direct secure messaging: jhodge270778@direct-ucsfmedicalcenter.org
  • Direct secure messaging: jhodge500944@direct.ghs.myhfn.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1558810309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 TIEMANN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693216",
            "telephone_number": "410-608-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "646-759-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "JAMES",
        "credential": "AG-ANCP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "DE",
            "license": "LP-0000348",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R192286",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F432016-01",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "P2257",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022631800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LIC",
            "identifier": "008372",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.