Active NPI
Martin Hoffman, MD
- Pediatric Rehabilitation Medicine Physician
- Buffalo, NY
National Provider Identifier
1992804884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- 116567
- Practice address
- 219 Bryant St
General Pediatric Division
Buffalo, NY 14222-2006 - Phone
- (716) 878-7277
- Fax
- (716) 888-3966
- NPI assigned
- Sep 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 116567 | NY | Primary |
| Pediatrics Physician | 208000000X | 116567 | NY |
Addresses
Primary practice location
219 Bryant St
General Pediatric Division
Buffalo, NY 14222-2006
Mailing address
1400 Sweet Home Rd
Suite 5
Amherst, NY 14228-2777
Phone (716) 932-6064
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040426001393 | Other | NY | FIDELIS |
| 1208884 | Other | NY | IHA |
| 000507357009 | Other | NY | BC/BS |
| 00603301 | Medicaid | NY | |
| 000507357008 | Other | NY | BC/BS |
| 0018712610001 | Other | NY | PA MEDICAID |
| 00010077801 | Other | NY | UNIVERA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116567 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University at Buffalo Pediatric Associates Inc | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505865600000",
"number": "1992804884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SWEET HOME RD",
"address_2": "SUITE 5",
"city": "AMHERST",
"state": "NY",
"postal_code": "142282777",
"telephone_number": "716-932-6064",
"fax_number": "716-932-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 BRYANT ST",
"address_2": "GENERAL PEDIATRIC DIVISION",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222006",
"telephone_number": "716-878-7277",
"fax_number": "716-888-3966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "MARTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2017-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "NY",
"license": "116567",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "116567",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426001393",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "1208884",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000507357009",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00603301",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000507357008",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA MEDICAID",
"identifier": "0018712610001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010077801",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.