Active NPI
Peter Hoffmann, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Roslyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 159675
- Practice address
- 100 Port Washington Boulevard
SFH - Laboratory
Roslyn, NY 11576 - Phone
- (516) 562-6414
- Fax
- (516) 562-6427
- NPI assigned
- Aug 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 159675 | NY | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G53648 | CA |
Addresses
Primary practice location
100 Port Washington Boulevard
SFH - Laboratory
Roslyn, NY 11576
Mailing address
15 Priory LN
Pelham, NY 10803-3603
Phone (914) 738-8943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G53648 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 159675 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology and Laboratory Consultants of Long Island, PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
6390 Fly Rd
East Syracuse, NY 13057
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
622 W 168th St
Ph 1564
New York, NY 10032
Phone (212) 305-7399
630 W 168th St
#23
New York, NY 10032
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- West Islip, NY
- NPI 1144212747
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Anatomic Pathology & Clinical Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669586681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PRIORY LN",
"city": "PELHAM",
"state": "NY",
"postal_code": "108033603",
"telephone_number": "914-738-8943",
"fax_number": "516-562-6427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PORT WASHINGTON BOULEVARD",
"address_2": "SFH - LABORATORY",
"city": "ROSLYN",
"state": "NY",
"postal_code": "11576",
"telephone_number": "516-562-6414",
"fax_number": "516-562-6427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMANN",
"first_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "159675",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G53648",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.