Active NPI
Robert D Hochberg, MD
- General Practice Physician
- Penn Valley, PA
National Provider Identifier
1891889614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD012606E
- Practice address
- 1119 N Woodbine Ave
Penn Valley, PA 19072-1244 - Phone
- (610) 667-4036
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD012606E | PA | Primary |
Addresses
Primary practice location
1119 N Woodbine Ave
Penn Valley, PA 19072-1244
Mailing address
1119 N Woodbine Ave
Penn Valley, PA 19072-1244
Phone (610) 667-4036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160115001908 | PA | Order and Referring Only - Geriatric Medicine | 2668468026 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1891889614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 N WOODBINE AVE",
"city": "PENN VALLEY",
"state": "PA",
"postal_code": "190721244",
"telephone_number": "610-667-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 N WOODBINE AVE",
"city": "PENN VALLEY",
"state": "PA",
"postal_code": "190721244",
"telephone_number": "610-667-4036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCHBERG",
"first_name": "ROBERT",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD012606E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Penn Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.