Individual provider Active NPI

Jennifer Marie Hoffmann, DO

  • Internal Medicine Physician
  • Perry Point, MD
National Provider Identifier
1760694129
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AZ005061 Issued in AZ
Practice address
601 Perryville Dr
BLDG 19H RM #109
Perry Point, MD 21902-1111
Phone
(410) 642-2411
NPI assigned
May 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AZ005061 AZ Primary

Addresses

Primary practice location

601 Perryville Dr
BLDG 19H RM #109
Perry Point, MD 21902-1111

Mailing address

601 Perryville Dr
BLDG 19H RM #109
Perry Point, MD 21902-1111
Phone (410) 642-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160929000673 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1355419938

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Specialty Physicians 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": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1760694129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PERRYVILLE DR",
            "address_2": "BLDG 19H RM #109",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219021111",
            "telephone_number": "410-642-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PERRYVILLE DR",
            "address_2": "BLDG 19H RM #109",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219021111",
            "telephone_number": "410-642-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "AZ005061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Point, MD

Sources for this page

Verify at the official NPI Registry.