Individual provider Active NPI

Joanna Frances Hofmann, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1336126739
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303082-1 Issued in NY
Practice address
1844 2ND Ave
Third Floor Medical Office
New York, NY 10128-3862
Phone
(212) 410-0033
Fax
(212) 410-5180
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303082-1 NY Primary
Gerontology Nurse Practitioner 363LG0600X F340596 NY

Addresses

Primary practice location

1844 2ND Ave
Third Floor Medical Office
New York, NY 10128-3862

Mailing address

3211 73Rd St
East Elmhurst, NY 11370-1705
Phone (718) 565-5978

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F303082-1NYMDAdult Health Nurse Practitioner
F340596NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Versacare, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1336126739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 73RD ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701705",
            "telephone_number": "718-565-5978",
            "fax_number": "718-565-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 2ND AVE",
            "address_2": "THIRD FLOOR MEDICAL OFFICE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283862",
            "telephone_number": "212-410-0033",
            "fax_number": "212-410-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "JOANNA",
        "middle_name": "FRANCES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303082-1",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.