Active NPI
Debra Ellen Hoffman, RD CDE
- Registered Dietitian
- Williamsville, NY
National Provider Identifier
1568528917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1546-1
- Practice address
- 142 Jordan Rd
Williamsville, NY 14221-4466 - Phone
- (716) 946-0119
- NPI assigned
- Dec 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1546-1 | NY | Primary |
Addresses
Primary practice location
142 Jordan Rd
Williamsville, NY 14221-4466
Mailing address
142 Jordan Rd
Williamsville, NY 14221-4466
Phone (716) 632-0529
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15461 | Other | NY | CDN |
| 09213213 | Other | NY | CERTIFIED DIABETES EDUCAT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1546-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1568528917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 JORDAN RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214466",
"telephone_number": "716-632-0529",
"fax_number": "716-298-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 JORDAN RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214466",
"telephone_number": "716-946-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "DEBRA",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "RD CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "1546-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDN",
"identifier": "15461",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED DIABETES EDUCAT",
"identifier": "09213213",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.