Active NPI
Nicole Jordan Hoffman, DC
- Chiropractor
- Massapequa, NY
National Provider Identifier
1982358644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 013578
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806600220 | Other | NY | DRIVERS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 013578 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul B Bernstein DPM PC | Current | 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.
-
- Primary Podiatric Medicine Podiatrist
- Massapequa, NY
- NPI 1386731859
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.