Individual provider Active NPI

Nicole Jordan Hoffman, DC

  • Chiropractor
  • Massapequa, NY
National Provider Identifier
1982358644
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013578 Issued in NY
Practice address
4200 Sunrise Hwy Ste 1
Massapequa, NY 11758-5353
Phone
(516) 547-1064
NPI assigned
Feb 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013578 NY Primary

Addresses

Primary practice location

4200 Sunrise Hwy Ste 1
Massapequa, NY 11758-5353

Mailing address

4200 Sunrise Hwy Ste 1
Massapequa, NY 11758-5353
Phone (516) 547-1064

Other identifiers 1

IdentifierTypeStateIssuer
806600220OtherNYDRIVERS LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013578NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Paul B Bernstein DPM PC CurrentSince Oct 9, 2022 Accepting new patients

Locations

4200 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 541-1064

4200 Sunrise Hwy
Ste 1
Massapequa, NY 11758
Phone (516) 541-1064

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1982358644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SUNRISE HWY STE 1",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585353",
            "telephone_number": "516-547-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SUNRISE HWY STE 1",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585353",
            "telephone_number": "516-547-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "NICOLE",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE NUMBER",
            "identifier": "806600220",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.