Individual provider Active NPI

Stuart M. Hoffman, M.D.

  • Surgery Physician
  • Plattsburgh, NY
National Provider Identifier
1619927407
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
254284 Issued in NY
Practice address
214 Cornelia St
Suite 102
Plattsburgh, NY 12901-2317
Phone
(518) 561-6410
NPI assigned
May 11, 2006
Last updated
Nov 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9758 NV
Surgery Physician 208600000X 254284 NY Primary
Surgery Physician 208600000X 47994 AZ
Surgery Physician 208600000X 129128 CA

Addresses

Primary practice location

214 Cornelia St
Suite 102
Plattsburgh, NY 12901-2317

Mailing address

11160 Verismo St
Las Vegas, NV 89141-3442
Phone (702) 768-6881

Other identifiers 1

IdentifierTypeStateIssuer
002018449MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728000974 NY Practitioner - General Surgery 8325935653 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47994AZMDSurgery Physician
129128CAMDSurgery Physician
254284NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital CurrentSince Oct 1, 2023 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Alice Hyde Medical Center Family Medicine CurrentSince Jan 1, 2020 Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: shoffman465889@direct.uvmhealth.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1619927407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 VERISMO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413442",
            "telephone_number": "702-768-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CORNELIA ST",
            "address_2": "SUITE 102",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012317",
            "telephone_number": "518-561-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "STUART",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "9758",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "254284",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "47994",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "129128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018449",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.