Active NPI
Angela Rose Hofman, L.AC L.M.T
- Acupuncturist
- Great Neck, NY
National Provider Identifier
1457608168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 004307-1
- Practice address
- 107 Northern Blvd
Suite 307
Great Neck, NY 11021-4311 - Phone
- (516) 375-5305
- NPI assigned
- Aug 13, 2012
- Last updated
- Jun 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 019629-1 | NY | |
| Massage Therapist | 225700000X | 98745 | FL | |
| Acupuncturist | 171100000X | 004307-1 | NY | Primary |
| Acupuncturist | 171100000X | 4477 | FL |
Addresses
Primary practice location
107 Northern Blvd
Suite 307
Great Neck, NY 11021-4311
Mailing address
107 Northern Blvd
Suite 307
Great Neck, NY 11021-4311
Phone (516) 375-5305
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4477 | FL | MD | Acupuncturist |
| 004307-1 | NY | MD | Acupuncturist |
| 98745 | FL | MD | Massage Therapist |
| 019629-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1457608168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 NORTHERN BLVD",
"address_2": "SUITE 307",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214311",
"telephone_number": "516-375-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 NORTHERN BLVD",
"address_2": "SUITE 307",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214311",
"telephone_number": "516-375-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFMAN",
"first_name": "ANGELA",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "L.AC L.M.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "019629-1",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "98745",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "004307-1",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "4477",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.