Individual provider Active NPI

Jeffrey Hofman, MD

  • Obstetrics & Gynecology Physician
  • Princeton, NJ
National Provider Identifier
1770638900
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA04625400 Issued in NJ
Practice address
601 Ewing St.
Suite C-13
Princeton, NJ 08540-2758
Phone
(609) 924-3023
Fax
(609) 924-5759
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA04625400 NJ Primary

Addresses

Primary practice location

601 Ewing St.
Suite C-13
Princeton, NJ 08540-2758

Mailing address

601 Ewing St.
Suite C-13
Princeton, NJ 08540-2758
Phone (609) 924-3023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100616000264 NJ Practitioner - Obstetrics/Gynecology 2264562313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04625400NJMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1770638900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 EWING ST.",
            "address_2": "SUITE C-13",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402758",
            "telephone_number": "609-924-3023",
            "fax_number": "609-924-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 EWING ST.",
            "address_2": "SUITE C-13",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402758",
            "telephone_number": "609-924-3023",
            "fax_number": "609-924-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMAN",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA04625400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.