Dr Barry Hoffman DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB02392700 Issued in NJ

Legal business name

DR BARRY HOFFMAN DO PA

Practice address

One White House Pike
Lindenwold, NJ 08021

Phone

(856) 784-3313

Fax

(856) 784-4770

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Barry Hoffman, DO PA

Title

Individual Corporation President

Phone

(856) 784-3313

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609894146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE WHITE HOUSE PIKE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080212344",
            "telephone_number": "856-784-3313",
            "fax_number": "856-784-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE WHITE HOUSE PIKE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "08021",
            "telephone_number": "856-784-3313",
            "fax_number": "856-784-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BARRY HOFFMAN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "INDIVIDUAL CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "856-784-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB02392700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2898608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.