Active NPI
Mark Michael Hoffman, MD
- Hematology & Oncology Physician
- Glens Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 1540861
- Practice address
- 102 Park Street
CR Wood Cancer Center
Glens Falls, NY 12801 - Phone
- (518) 926-6620
- Fax
- (518) 926-6626
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 1540861 | NY | Primary |
Addresses
Primary practice location
102 Park Street
CR Wood Cancer Center
Glens Falls, NY 12801
Mailing address
100 Park Street
Glens Falls Hospital - Credentialing
Glens Falls, NY 12801-4413
Phone (518) 926-5924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00962730 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mark.hoffman@cdirectglensfallshosp.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.88 of 100
- Quality
- 71.44
- Promoting interoperability
- 97.95
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1540861 | NY | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adirondack Cancer Care | Current | Accepting new patients | |
| Glens Falls Hospital Inc | Current | Accepting new patients | |
| Glens Falls Hospital Inc. | Hematology & Oncology | Current | Accepting new patients |
Locations
102 Park St
Glens Falls, NY 12801
Phone (518) 793-5601
100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924
2 Broad Street Plz
Glens Falls, NY 12801
Phone (518) 793-0519
79 North St
Granville, NY 12832
Phone (518) 642-0612
420 Glen St
Queensbury, NY 12801
Phone (518) 761-0000
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Glens Falls, NY
- NPI 1336198217
Hematology & Oncology
-
- Specialist
- Glens Falls, NY
- NPI 1831204775
-
- Community/Retail Pharmacy
- Glens Falls, NY
- NPI 1619990991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1932184405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARK STREET",
"address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014413",
"telephone_number": "518-926-5924",
"fax_number": "518-926-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 PARK STREET",
"address_2": "CR WOOD CANCER CENTER",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-926-6620",
"fax_number": "518-926-6626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "MARK",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2021-06-29",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "1540861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00962730",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mark.hoffman@cdirectglensfallshosp.org",
"affiliation": "N",
"address_1": "102 Park Street",
"address_2": "CR Wood Cancer Center",
"city": "Glens Falls",
"state": "NY",
"country_code": "US",
"postal_code": "12801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.