Active NPI
Nicholas Hogan
- Developmentally Disabled Services Day Training Agency
- Shortsville, NY
National Provider Identifier
1912206145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Practice address
- 1506 State Route 21
Shortsville, NY 14548-9502 - Phone
- (585) 289-9649
- Fax
- (585) 289-3497
- NPI assigned
- Mar 28, 2011
- Last updated
- Mar 28, 2011
- 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 |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
1506 State Route 21
Shortsville, NY 14548-9502
Mailing address
2963 Manchester Hopewell Townline Rd
Clifton Springs, NY 14432-9343
Phone (315) 462-2924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1912206145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2963 MANCHESTER HOPEWELL TOWNLINE RD",
"city": "CLIFTON SPRINGS",
"state": "NY",
"postal_code": "144329343",
"telephone_number": "315-462-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 STATE ROUTE 21",
"city": "SHORTSVILLE",
"state": "NY",
"postal_code": "145489502",
"telephone_number": "585-289-9649",
"fax_number": "585-289-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "NICHOLAS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-28",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shortsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.