Individual provider Active NPI

Karen Priest Hoffman

  • Clinical Social Worker
  • Ardsley, NY
National Provider Identifier
1720739063
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
10 Melissa Dr
Ardsley, NY 10502-1041
Phone
(914) 327-6648
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10 Melissa Dr
Ardsley, NY 10502-1041

Mailing address

10 Melissa Dr
Ardsley, NY 10502-1041
Phone (914) 327-6648

Other practice location 1

5 Bertram St
Islip, NY 11751-1001
Phone (866) 949-0108

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211002623 NY Practitioner - Clinical Social Worker 5193251387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward Timothy Okelley MD PCGroup PAC ID 8729437793, 11 clinicians

Practice addresses (Care Compare)

155 Crystal Run Rd
Middletown, NY 10941-4028
Phone (888) 725-5422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Timothy Okelley MD PC Single Specialty CurrentSince Nov 7, 2024 Accepting new patients
New York Licensed Clinical Social Work, PC Clinical PastSince Nov 21, 2021 Accepting new patients

Locations

155 Crystal Run Rd
Middletown, NY 10941

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": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1720739063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MELISSA DR",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021041",
            "telephone_number": "914-327-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MELISSA DR",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021041",
            "telephone_number": "914-327-6648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Bertram St",
            "address_purpose": "LOCATION",
            "city": "Islip",
            "state": "NY",
            "postal_code": "117511001",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "KAREN",
        "middle_name": "PRIEST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

Verify at the official NPI Registry.