Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vivien Jiewen Hogan

Individual provider Surgical Physician Assistant · NPI 1669915922

Vivien Jiewen Hogan is a Physician Assistant in Manhasset, New York. Qualified in 2016, 10 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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Practice location Address checks out

300 Community Dr
Manhasset, NY 11030-3816
Phone: (516) 684-7341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 241 North Rd, Poughkeepsie, NY 12601-1154 — (845) 431-8238

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 020429 (NY)

Record details

NPI number1669915922
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 18, 2016
Last updated in NPPESJanuary 3, 2020
Certification dateJanuary 3, 2020
Mailing address86 Valentine St, Glen Cove, NY 11542-2334

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Manhasset