Individual provider Active NPI

Robert D Hochberg, MD

  • General Practice Physician
  • Penn Valley, PA
National Provider Identifier
1891889614
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD012606E Issued in PA
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

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160115001908 PA Order and Referring Only - Geriatric MedicinePractitioner - 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

Verify at the official NPI Registry.