Individual provider Active NPI

Jared R Hoffman, D.C.

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1992752828
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X-010180-01 Issued in NY
Practice address
729 Wythe Ave
Brooklyn, NY 11211-7820
Phone
(718) 222-9700
Fax
(718) 222-1879
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X-010180-01 NY Primary

Addresses

Primary practice location

729 Wythe Ave
Brooklyn, NY 11211-7820

Mailing address

729 Wythe Ave
Brooklyn, NY 11211-7820
Phone (718) 222-9700

Other identifiers 1

IdentifierTypeStateIssuer
02577342MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104001034 NY Practitioner - Chiropractic 4789607771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

729 Wythe Ave
Brooklyn, NY 11249-7820
Phone (718) 222-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X-010180-01NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Williamsburg Chiropractic PC Chiropractor CurrentSince Jan 10, 2012 Accepting new patients
Keller Chiropractic of Williamsburg LLC. Chiropractor PastSince Oct 8, 2002 Accepting new patients
Bayside Chiropractic, LLC Chiropractor PastSince Feb 20, 2008 Accepting new patients
Keller Chiropractic of Crown Heights LLC. Chiropractor PastSince Jun 16, 2006 Accepting new patients

Locations

729 Wythe Ave
Brooklyn, NY 11249
Phone (718) 222-9700

Organizations & group practices 4

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1992752828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 WYTHE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117820",
            "telephone_number": "718-222-9700",
            "fax_number": "718-222-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 WYTHE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117820",
            "telephone_number": "718-222-9700",
            "fax_number": "718-222-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "JARED",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-010180-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02577342",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.