Organization Active NPI

Hoffman Health Partners PC

  • Internal Medicine Physician
  • Towanda, PA
National Provider Identifier
1710918693
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOFFMAN HEALTH PARTNERS PC
Practice address
380 York Avenue
Towanda, PA 18848
Phone
(570) 268-4096
Fax
(570) 265-7824
NPI assigned
Jul 6, 2006
Last updated
May 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Dr. Timothy J Hoffman, DONPI 1417922394
Title
Owner
Phone
(570) 268-4096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

380 York Avenue
Towanda, PA 18848

Mailing address

380 York Avenue
Towanda, PA 18848
Phone (570) 268-4096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040819001065 PA Part B Supplier - Clinic/Group Practice 1355315052 Receives reassigned benefits from 7 practitioners
Practice locations: Towanda, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0961557Hoffman Health Partners380 York Ave, Towanda, PA 18848Certificate of waiverJun 9, 2027

National Provider Directory

National Provider Directory

Locations

380 York Ave
Towanda, PA 18848
Phone (570) 268-4096

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1710918693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 YORK AVENUE",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "18848",
            "telephone_number": "570-268-4096",
            "fax_number": "570-265-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 YORK AVENUE",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "18848",
            "telephone_number": "570-268-4096",
            "fax_number": "570-265-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOFFMAN HEALTH PARTNERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-268-4096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towanda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.