Individual provider Active NPI

Stanley D Hoffman, M.D.

  • Dermatology Physician
  • Palm Coast, FL
National Provider Identifier
1871579649
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME0117213 Issued in FL
Practice address
14 Office Park Dr Ste 6
Palm Coast, FL 32137-3830
Phone
(407) 299-7333
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 200000825 NC
Dermatology Physician 207N00000X ME0117213 FL Primary

Addresses

Primary practice location

14 Office Park Dr Ste 6
Palm Coast, FL 32137-3830

Mailing address

7652 Ashley Park CT Ste 305
Orlando, FL 32835-6199
Phone (407) 299-7333

Other identifiers 1

IdentifierTypeStateIssuer
127A8OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20131022001068 FL Practitioner - Dermatology 2466422852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

519 N Dixie Fwy
New Smyrna Beach, FL 32168-6707
Phone (407) 299-7333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions63
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0117213FLMDDermatology Physician
200000825NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Dermatology Associates P.a. Dermatology CurrentSince Jan 1, 2018 Accepting new patients

Locations

519 N Dixie Fwy
New Smyrna Beach, FL 32168

100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999

7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127

14 Office Park Dr
Ste 6
Palm Coast, FL 32137
Phone (386) 283-4991

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1871579649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 ASHLEY PARK CT STE 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356199",
            "telephone_number": "407-299-7333",
            "fax_number": "407-293-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OFFICE PARK DR STE 6",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373830",
            "telephone_number": "407-299-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "STANLEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200000825",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0117213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "127A8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.