Individual provider Active NPI

Karl Hoffmann-Egozcue, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1932225463
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049798-1 Issued in NY
Practice address
374 Stockholm St
Wyckoff Heights Medical Center ,Dental Medicine
Brooklyn, NY 11237-4006
Phone
(718) 963-7757
Fax
(718) 963-7757
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 049798-1 NY Primary

Addresses

Primary practice location

374 Stockholm St
Wyckoff Heights Medical Center ,Dental Medicine
Brooklyn, NY 11237-4006

Mailing address

374 Stockholm St
2ND Floor
Brooklyn, NY 11237-4006
Phone (718) 963-7757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141210000076 NY Practitioner - DentistPractitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 8123340775 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049798-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Heights Dental Services P.C. General Practice CurrentSince Aug 11, 2014 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
Wyckoff Heights Dental Services, PC Current Accepting new patients
Harry Robert Maximilan Koster, MD PC Past Accepting new patients

Locations

374 Stockholm St
Fl 2
Brooklyn, NY 11237

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

Interoperability endpoints

  • Direct secure messaging: karl.hoffman@whmc.eclinicaldirectplus.com
  • Direct secure messaging: karlhoffmann-egozcue@whmc.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1932225463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374006",
            "telephone_number": "718-963-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM ST",
            "address_2": "WYCKOFF HEIGHTS MEDICAL CENTER ,DENTAL MEDICINE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374006",
            "telephone_number": "718-963-7757",
            "fax_number": "718-963-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN-EGOZCUE",
        "first_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049798-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.