Active NPI
Jessica L. Hoff, PA-C
- Physician Assistant
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 011537
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02987415 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011537 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finger Lakes Community Health | Current | Accepting new patients | |
| Cayuga Emergency Physicians, LLP | Current | Accepting new patients | |
| Finger Lakes Community Health | Current | Accepting new patients | |
| Ophelia Medical Group, P.C. | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Port Byron, NY
- NPI 1114198819
-
- General Practice Physician
- Ithaca, NY
- NPI 1831601533
-
- Emergency Medicine Physician
- Cortland, NY
- NPI 1578639423
-
dba Dundee Community Health
- Federally Qualified Health Center (FQHC)
- Dundee, NY
- NPI 1366939878
-
- Federally Qualified Health Center (FQHC)
- Sodus, NY
- NPI 1669568465
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Philadelphia, PA
- NPI 1376179150
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.