Individual provider Active NPI

Julian Bennett Hogan, RN LCSW

  • Registered Nurse
  • Highland, NY
National Provider Identifier
1730166786
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
3627391 Issued in NY
Practice address
62 Main St
Highland, NY 12528-1423
Phone
(845) 691-8003
Fax
(845) 691-8003
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R0457311 NY
Registered Nurse 163W00000X 3627391 NY Primary

Addresses

Primary practice location

62 Main St
Highland, NY 12528-1423

Mailing address

62 Main St
Highland, NY 12528-1423
Phone (845) 691-8003

Other identifiers 1

IdentifierTypeStateIssuer
02030486MedicaidNY

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
I20050618000181 NY Practitioner - Clinical Social Worker 4688618796 Practice locations: Cornwall on Hudson, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0457311NYMDSocial Worker
3627391NYMDRegistered Nurse
045733NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1730166786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 MAIN ST",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125281423",
            "telephone_number": "845-691-8003",
            "fax_number": "845-691-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MAIN ST",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125281423",
            "telephone_number": "845-691-8003",
            "fax_number": "845-691-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "JULIAN",
        "middle_name": "BENNETT",
        "name_prefix": "Ms.",
        "credential": "RN LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0457311",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "3627391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02030486",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

Verify at the official NPI Registry.