Active NPI
Carl M Hoffman, MD
- Family Medicine Physician
- Bronx, NY
National Provider Identifier
1326205576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- NY102700
- Practice address
- 124 E 177TH St
#2F
Bronx, NY 10453-5914 - Phone
- (212) 576-7064
- NPI assigned
- May 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NY102700 | NY | Primary |
Addresses
Primary practice location
124 E 177TH St
#2F
Bronx, NY 10453-5914
Mailing address
124 E 177TH St
#2F
Bronx, NY 10453-5914
Phone (212) 576-7064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102700 | NY | MD | Clinical Social Worker |
| NY102700 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1326205576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E 177TH ST",
"address_2": "#2F",
"city": "BRONX",
"state": "NY",
"postal_code": "104535914",
"telephone_number": "212-576-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E 177TH ST",
"address_2": "#2F",
"city": "BRONX",
"state": "NY",
"postal_code": "104535914",
"telephone_number": "212-576-7064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "CARL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "NY102700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.