Susan Bockenhauer, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

208634 Issued in NY

Practice address

96 5TH Ave
Suite # 1-L
New York, NY 10011-7605

Phone

(646) 872-9819

NPI assigned

Nov 1, 2006

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)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Brooklyn Osteopathic, PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1639335250
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871670638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 LINCOLN PL",
            "address_2": "APT. # 6-F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173746",
            "telephone_number": "646-872-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 5TH AVE",
            "address_2": "SUITE # 1-L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117605",
            "telephone_number": "646-872-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKENHAUER",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sari Bochner
• Yehoshua Bochner, PH.D.
• Elinor Rae Bock, PH.D.
• Laura Kathryn Bock, MD
• Richard David Bock, PH.D.
• Vivian Bockian
• Philip Bockman, LCSW ACSW
• Richard S Bockman, MD
• Elizabeth Boctor, MD
• Stanley Boczko, M.D.

• Family Medicine Physician in New York, NY
• Providers in New York, 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 Jul 8, 2007; 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.