Individual provider Active NPI

Andrew S. Hockenbery

  • Speech-Language Pathologist
  • Ogdensburg, NY
National Provider Identifier
1972946705
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
022722 Issued in NY
Practice address
221 Hamilton St
Ogdensburg, NY 13669-1707
Phone
(315) 530-0911
NPI assigned
Apr 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 022722 NY Primary

Addresses

Primary practice location

221 Hamilton St
Ogdensburg, NY 13669-1707

Mailing address

810 Caroline St
Ogdensburg, NY 13669-3304
Phone (315) 323-4042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230504002890 NY Practitioner - Qualified Speech Language Pathologist 6709241235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nysarc Inc. Onondaga County ChapterGroup PAC ID 9537252184, 19 clinicians

Practice addresses (Care Compare)

600 S Wilbur Ave
Syracuse, NY 13204-2730
Phone (315) 476-7441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Essex County Chapter, Nysarc, Inc. CurrentSince May 1, 2023 Accepting new patients

Locations

6 Commerce Ln
Canton, NY 13617
Phone (315) 379-9531

63 S Main St
#1-2
Norwood, NY 13668
Phone (315) 353-6618

10 St Patrick Pl
Port Henry, NY 12974
Phone (518) 546-3381

Organizations & group practices 2

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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1972946705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CAROLINE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136693304",
            "telephone_number": "315-323-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 HAMILTON ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691707",
            "telephone_number": "315-530-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKENBERY",
        "first_name": "ANDREW",
        "middle_name": "S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogdensburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.