Individual provider Active NPI

Arthur Samuel Hodge Jr.

  • Addiction (Substance Use Disorder) Counselor
  • Jamaica, NY
National Provider Identifier
1811551252
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
16318 Jamaica Ave Ste 502
Jamaica, NY 11432-4919
Phone
(718) 658-0010
Fax
(718) 658-2909
NPI assigned
Apr 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 194629 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

16318 Jamaica Ave Ste 502
Jamaica, NY 11432-4919

Mailing address

16318 Jamaica Ave Ste 502
Jamaica, NY 11432-4919
Phone (718) 658-0010

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825002901 NY Practitioner - Addiction MedicinePractitioner - General Practice 3375960107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: General Practice
Education
New York Medical College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Service of Edny IncGroup PAC ID 3971733320, 6 clinicians

Practice addresses (Care Compare)

16318 Jamaica Ave
Suite 502
Jamaica, NY 11432-4919
Phone (718) 658-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Service of Edny, Inc. CurrentSince Jul 1, 2020 Accepting new patients

Locations

175 Remsen St
Ste 900
Brooklyn, NY 11201
Phone (718) 858-6631

16318 Jamaica Ave
Ste 502
Jamaica, NY 11432
Phone (718) 658-0010

Organizations & group practices 1

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1811551252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16318 JAMAICA AVE STE 502",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324919",
            "telephone_number": "718-658-0010",
            "fax_number": "718-658-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16318 JAMAICA AVE STE 502",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324919",
            "telephone_number": "718-658-0010",
            "fax_number": "718-658-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "ARTHUR",
        "middle_name": "SAMUEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "194629",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.