Active NPI
Russell R Hoffman
- Obstetrics & Gynecology Physician
- Mountainside, NJ
National Provider Identifier
1356476063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MA59282
- Practice address
- 200 Sheffield St Ste 313
Mountainside, NJ 07092-2321 - Phone
- (908) 273-3335
- Fax
- (908) 273-4648
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MA59282 | NJ | Primary |
Addresses
Primary practice location
200 Sheffield St Ste 313
Mountainside, NJ 07092-2321
Mailing address
576 Springfield Ave
Summit, NJ 07901-4502
Phone (908) 273-3335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
576 Springfield Ave
Apt 1
Summit, NJ 07901-4508
Phone 9082733335514
Hospital & facility affiliations
- Overlook Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA59282 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell R. Hoffman,M.D.,P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
200 Sheffield St
Ste 313
Mountainside, NJ 07092
Phone (732) 947-2631
Interoperability endpoints
- russell.hoffman@russellrhoffmanmdpa.ehi.direct-ci.com
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.
-
- Obstetrics & Gynecology Physician
- Summit, NJ
- NPI 1518092246
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1356476063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 SPRINGFIELD AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079014502",
"telephone_number": "908-273-3335",
"fax_number": "908-273-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SHEFFIELD ST STE 313",
"city": "MOUNTAINSIDE",
"state": "NJ",
"postal_code": "070922321",
"telephone_number": "908-273-3335",
"fax_number": "908-273-4648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "RUSSELL",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "MA59282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountainside, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.