Active NPI
David Hom MD PLLC
- Urology Physician
- New York, NY
National Provider Identifier
1629112396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 205838 1
- Legal business name
- DAVID HOM MD PLLC
- Practice address
- 251 E 33Rd St
LL
New York, NY 10016-4804 - Phone
- (212) 683-1008
- Fax
- (212) 683-2199
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Hom, MD
- Title
- MD
- Phone
- (212) 683-1008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 205838 1 | NY | Primary |
Addresses
Primary practice location
251 E 33Rd St
LL
New York, NY 10016-4804
Mailing address
251 E 33Rd St
LL
New York, NY 10016-4804
Phone (212) 683-1008
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1099211 | Other | NY | GHI |
| 205838 | Other | NY | HIP |
| 3610716 | Other | NY | AETNA USHEALTHCARE |
| P2125864 | Other | NY | OXFORD |
| 36R401 | Other | NY | EMPIRE BLUE SHIELD |
| 02104974 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
333 E 34th St
Ofc 1L
New York, NY 10016
Phone (212) 683-1008
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1629112396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E 33RD ST",
"address_2": "LL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164804",
"telephone_number": "212-683-1008",
"fax_number": "212-683-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E 33RD ST",
"address_2": "LL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164804",
"telephone_number": "212-683-1008",
"fax_number": "212-683-2199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID HOM MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "HOM",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "212-683-1008",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "NY",
"license": "205838 1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1099211",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "205838",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHEALTHCARE",
"identifier": "3610716",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2125864",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE SHIELD",
"identifier": "36R401",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02104974",
"state": "NY"
}
],
"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 Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.