Healthcare Provider Details

I. General information

NPI: 1851626824
Provider Name (Legal Business Name): JOHNATHAN ARYEH HOENIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ARYEH HOENIG MD

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 E 149TH ST
BRONX NY
10455-1789
US

IV. Provider business mailing address

PO BOX 5036
WHITE PLAINS NY
10602-5036
US

V. Phone/Fax

Practice location:
  • Phone: 855-681-8700
  • Fax: 845-765-9326
Mailing address:
  • Phone: 914-898-9421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA121505
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number256113
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: