Individual provider Active NPI

Herbert Saul Hoffman, MD

  • Internal Medicine Physician
  • West Hartford, CT
National Provider Identifier
1891718763
Registry record updated May 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
023016 Issued in CT
Practice address
1170 New Britain Ave
West Hartford, CT 06110-2410
Phone
(860) 233-2639
Fax
(860) 236-3431
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 023016 CT Primary
Internal Medicine Physician 207R00000X 23016 CT

Addresses

Primary practice location

1170 New Britain Ave
West Hartford, CT 06110-2410

Mailing address

1170 New Britain Ave
West Hartford, CT 06110
Phone (860) 233-2639

Other identifiers 1

IdentifierTypeStateIssuer
1230168MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100617000088 CT Practitioner - Internal Medicine 8224168232 Practice locations: West Hartford, CT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023016CTMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272672000000",
    "number": "1891718763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 NEW BRITAIN AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06110",
            "telephone_number": "860-233-2639",
            "fax_number": "860-236-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 NEW BRITAIN AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102410",
            "telephone_number": "860-233-2639",
            "fax_number": "860-236-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "HERBERT",
        "middle_name": "SAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "023016",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "23016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1230168",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.