Organization Active NPI

S. Denise Hoffman M.D. Family Medicine

  • Family Medicine Physician
  • King of Prussia, PA
National Provider Identifier
1255593075
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD044986L Issued in PA
Legal business name
S. DENISE HOFFMAN M.D. FAMILY MEDICINE
Practice address
860 1St Ave
Suite 4a
King of Prussia, PA 19406-4033
Phone
(610) 337-9997
Fax
(610) 265-1441
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Susan Denise Hoffman, M.D.NPI 1619990348
Title
President /Physician
Phone
(610) 337-9997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD044986L PA Primary

Addresses

Primary practice location

860 1St Ave
Suite 4a
King of Prussia, PA 19406-4033

Mailing address

860 1St Ave
Suite 4a
King of Prussia, PA 19406-4033
Phone (610) 337-9997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050415000313 PA Part B Supplier - Clinic/Group Practice 5395782858 Receives reassigned benefits from 1 practitioner
Practice locations: King of Prussia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1255593075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 1ST AVE",
            "address_2": "SUITE 4A",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-337-9997",
            "fax_number": "610-265-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 1ST AVE",
            "address_2": "SUITE 4A",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-337-9997",
            "fax_number": "610-265-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. DENISE HOFFMAN M.D. FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT /PHYSICIAN",
        "authorized_official_telephone_number": "610-337-9997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD044986L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.