Dr Celso A Hofilena Jr, MD - Medicare Pediatrics in Mt Sinai, NY

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Dr Celso A Hofilena Jr, MD is a medicare enrolled "Pediatrics" physician in Mt Sinai, New York. His current practice location is 5505 Nesconset Hwy, Mt Sinai, New York. You can reach out to his office (for appointments etc.) via phone at (631) 434-1770.

Dr Celso A Hofilena Jr is licensed to practice in New York (license number 199883) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801897491.

Contact Information

Dr Celso A Hofilena Jr, MD
5505 Nesconset Hwy,
Mt Sinai, NY 11766-2037
(631) 434-1770
(631) 234-6175

Map and Direction




Physician's Profile

Full NameDr Celso A Hofilena Jr
GenderMale
SpecialityPediatrics
Location5505 Nesconset Hwy, Mt Sinai, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801897491
  • Provider Enumeration Date: 08/03/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0042518243
  • Enrollment ID: I20160420001688

Medical Identifiers

Medical identifiers for Dr Celso A Hofilena Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801897491NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 199883 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Celso A Hofilena Jr allows following entities to bill medicare on his behalf.
Entity NameNorth Shore - Lij Pediatrics Of Suffolk County, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255722161
PECOS PAC ID: 6406151919
Enrollment ID: O20160222001466

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Celso A Hofilena Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Celso A Hofilena Jr, MD
1770 Motor Pkwy,
Islandia, NY 11749-5260

Ph: (631) 434-1770		Dr Celso A Hofilena Jr, MD
5505 Nesconset Hwy,
Mt Sinai, NY 11766-2037

Ph: (631) 434-1770

Reviews and Comments


Pediatrics Doctors in Mt Sinai, NY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.