Jerry Wayne Hoffman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

42548 Issued in MA

Practice address

199 Oak St
Pembroke, MA 02359-1912

Phone

(781) 829-7180

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912051814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 GLADES RD",
            "address_2": "#6",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020661641",
            "telephone_number": "781-829-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 OAK ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591912",
            "telephone_number": "781-829-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "JERRY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "42548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Patrick Heney, D.C.
• Stephanie Lynn Hennequin
• Georgina Henry
• Natalie Faith Henry, DPT
• Christine Hickey, PMHNP-BC
• Janice Elaine Howard, LICSW
• Julianne Humphries
• Deborah Issokson, PSY.D.
• Marisa Jacobson, NBC-HWC
• Adalheid Katrina Jakub Maher, LDN

• Psychiatry Physician in Pembroke, MA
• Providers in Pembroke, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.