Horace A Hawthorne, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

228249 Issued in NY

Practice address

101 S Bergen PL
Long Island FQHC, Inc.
Freeport, NY 11520-3528

Phone

(516) 623-3600

Fax

(516) 623-9191

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harmony Health Care Long IslandGroup PAC ID 5991970535, 24 clinicians

Union Community Health Center IncGroup PAC ID 4486545266, shared by 8 NPIs, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
• Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
• Nassau University Medical Center Hospital, East Meadow, NY, CCN 330027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: horace.hawthorne@lifqhc.eclinicaldirectplus.com
• Direct secure messaging: hhawthorne20626@sbhny.direct-ci.net

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.

• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Elmont, NY
  • NPI 1336669670
  Medicare reassignment Care Compare group NPD
• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • North Baldwin, NY
  • NPI 1205704319
  NPD
• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Freeport, NY
  • NPI 1881028108
  NPD
• Elmont Community Health Center

  • Clinic/Center
  • Elmont, NY
  • NPI 1467478362
  NPD (past)
• South Ocean Care LLC

  • Clinic/Center
  • Freeport, NY
  • NPI 1205811049
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation
• Nursing Sisters Home Care, Inc.

  • Home Health Agency
  • Farmingdale, NY
  • NPI 1780670711
  Care Compare affiliation

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1750365177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 NASSAU RD",
            "address_2": "LONG ISLAND FQHC, INC.",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751343",
            "telephone_number": "516-571-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BERGEN PL",
            "address_2": "LONG ISLAND FQHC, INC.",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203528",
            "telephone_number": "516-623-3600",
            "fax_number": "516-623-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "HORACE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02483549",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Hardison, COTA
• Harmony Health Care Long Island
• Harmony Health Care Long Island
• Etta Harper, REGISTERED OCCUPATIO
• Madisan Simone Haslam, LPN
• Health Quest Medical Supply Inc.
• Madeline Heit, LCSW
• Jeffrey A. Heller, OPTICIAN
• Paul L. Heller, OPTICIAN
• Susan Heller

• Family Medicine Physician in Freeport, NY
• Providers in Freeport, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.