NPI 1306828744 · live from the CMS NPI Registry
Jason Leroy Hodges, M.D.
Radiology, Diagnostic Radiology in Far Rockaway, NY. National Provider Identifier 1306828744, active.
NPI record
| NPI | 1306828744 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 327 Beach 19th St, Far Rockaway, NY 11691 |
| Practice phone | 718-869-7780 |
| Mailing address | 52 Main St, Bedford Hills, NY 10507 |
| Enumerated | November 18, 2005 |
| Last updated | June 20, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 223707 (NY) |
| Radiology, Diagnostic Radiology | 2085R0202X | MD210002640 (DC) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 2009021866 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.