Joanna Barbara Bochenek, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

228294 Issued in NY

Practice address

400 Midway Park Dr
Middletown, NY 10940-2656

Phone

(845) 343-0728

Fax

(845) 343-2087

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGCECD
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/22471/brand/1/csg/1/fhir/r4
• Direct secure messaging: joanna.bochenek.1@22471.direct.athenahealth.com

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.

• Boston Children'S Health Physicians, LLP

  • Pediatrics Physician
  • Hawthorne, NY
  • NPI 1467454967
  Medicare reassignment NPD
• Orange Medical Associates, LLP

  • Pediatric Adolescent Medicine Physician
  • Middletown, NY
  • NPI 1053918904

  Pediatrics

  NPD Authorized official
• Boston Childrens Health Physicians LLP

  • Clinical Medical Laboratory
  • Sleepy Hollow, NY
  • NPI 1588651079
  NPD
• Cornerstone Family Healthcare

  • Federally Qualified Health Center (FQHC)
  • Newburgh, NY
  • NPI 1114757515
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1952396228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MIDWAY PARK DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402656",
            "telephone_number": "845-343-0728",
            "fax_number": "845-343-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MIDWAY PARK DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402656",
            "telephone_number": "845-343-0728",
            "fax_number": "845-343-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCHENEK",
        "first_name": "JOANNA",
        "middle_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "228294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00472931",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "331832",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blooming Little Voices
• Katherine E Bloss, NP
• Linda Jean Blosser, RN
• Andrew A Blumenthal, RN
• Kristina D Bobb, CASAC-T
• Christy R Bock, RD, CDN
• Dorothy Bodnar, FNP
• Christine T Bogert, COTA
• Staci E. Bolger
• Joan Bolles

• Pediatrics Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.

Verify at the official NPI Registry.