Active NPI
Charles Hochbaum, DSW, LCSW
- Case Manager/Care Coordinator
- Brentwood, NY
National Provider Identifier
1912246547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- RO25721-1
- Practice address
- 998 Crooked Hill Road
Brentwood, NY 11717 - Phone
- (631) 761-4157
- Fax
- (631) 761-4184
- NPI assigned
- Feb 1, 2013
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | RO25721-1 | NY | Primary |
Addresses
Primary practice location
998 Crooked Hill Road
Brentwood, NY 11717
Mailing address
998 Crooked Hill Road
Brentwood, NY 11717
Phone (631) 761-4157
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO25721-1 | NY | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1912246547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "998 CROOKED HILL ROAD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "11717",
"telephone_number": "631-761-4157",
"fax_number": "631-761-4184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 CROOKED HILL ROAD",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "11717",
"telephone_number": "631-761-4157",
"fax_number": "631-761-4184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCHBAUM",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-01",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NY",
"license": "RO25721-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.