Gaetina Hodnett, M.S.ED.

Primary specialty

SpecialistTaxonomy code 174400000X

License

613707951 Issued in NY

Practice address

500 Clocks Blvd
Massapequa, NY 11758-7708

Phone

(516) 795-1366

Fax

(516) 795-1366

NPI assigned

Sep 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1801344833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CLOCKS BLVD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587708",
            "telephone_number": "516-795-1366",
            "fax_number": "516-795-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CLOCKS BLVD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587708",
            "telephone_number": "516-795-1366",
            "fax_number": "516-795-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODNETT",
        "first_name": "GAETINA",
        "name_prefix": "Mrs.",
        "credential": "M.S.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "613707951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.