Individual provider Active NPI

Mark Alan Hoffman, M.D.

  • Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1093951634
Registry record updated Jan 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD-044448L Issued in PA
Practice address
1515 Locust St
Unit #1000
Philadelphia, PA 19102-3726
Phone
(215) 985-2729
NPI assigned
Jan 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD-044448L PA Primary

Addresses

Primary practice location

1515 Locust St
Unit #1000
Philadelphia, PA 19102-3726

Mailing address

1515 Locust St
Unit #1000
Philadelphia, PA 19102-3726
Phone (215) 985-2729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409003390 PA Order and Referring Only - General SurgeryPractitioner - General Surgery 8022532258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-044448LPAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1231027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231027200000",
    "number": "1093951634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LOCUST ST",
            "address_2": "UNIT #1000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023726",
            "telephone_number": "215-985-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LOCUST ST",
            "address_2": "UNIT #1000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023726",
            "telephone_number": "215-985-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-04",
        "last_updated": "2009-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD-044448L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.