Individual provider Active NPI

Jessica L. Hoff, PA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1003825241
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011537 Issued in NY
Practice address
134 N 4TH St
Brooklyn, NY 11249
Phone
(215) 585-2144
Fax
(267) 780-7032
NPI assigned
Aug 5, 2006
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011537 NY Primary
Physician Assistant 363A00000X MA051446 PA

Addresses

Primary practice location

134 N 4TH St
Brooklyn, NY 11249

Mailing address

228 Park Ave S
Suite 15314
New York, NY 10003-1208
Phone (215) 585-2144

Other identifiers 1

IdentifierTypeStateIssuer
02987415MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070710000709 NY Practitioner - Physician Assistant 6800700592 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011537NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Community Health CurrentSince Jun 22, 2009 Accepting new patients
Cayuga Emergency Physicians, LLP CurrentSince Dec 1, 2014 Accepting new patients
Finger Lakes Community Health CurrentSince Jun 22, 2009 Accepting new patients
Ophelia Medical Group, P.C. PastSince Mar 22, 2020 Accepting new patients

Locations

75 Remit Dr
Chicago, IL 60675

601B W Washington St
Geneva, NY 14456
Phone (315) 781-8448

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

14 Maiden Ln
Penn Yan, NY 14527
Phone (315) 531-9102

6692 Middle Rd
Ste 2100
Sodus, NY 14551
Phone (315) 483-1199

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1003825241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S",
            "address_2": "SUITE 15314",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031208",
            "telephone_number": "215-585-2144",
            "fax_number": "267-780-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11249",
            "telephone_number": "215-585-2144",
            "fax_number": "267-780-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFF",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011537",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02987415",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.