Individual provider Active NPI

Ronald L Hoffman, M.D.

  • General Practice Physician
  • New York, NY
National Provider Identifier
1679695159
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A158621-1 Issued in NY
Practice address
776 6TH Ave
Suite 4B
New York, NY 10001-6354
Phone
(212) 779-1744
Fax
(212) 779-0891
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A158621-1 NY Primary

Addresses

Primary practice location

776 6TH Ave
Suite 4B
New York, NY 10001-6354

Mailing address

776 6TH Ave
Suite 4B
New York, NY 10001-6354
Phone (212) 779-1744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2012 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158621-1NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoffman Center Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1679695159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 6TH AVE",
            "address_2": "SUITE 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016354",
            "telephone_number": "212-779-1744",
            "fax_number": "212-779-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 6TH AVE",
            "address_2": "SUITE 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016354",
            "telephone_number": "212-779-1744",
            "fax_number": "212-779-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "RONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "A158621-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.