1518987429 NPI number — IRA R. HOFFMAN MD AND MURRAY R. ROGERS, MD PC

Table of content: (NPI 1518987429)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518987429 NPI number — IRA R. HOFFMAN MD AND MURRAY R. ROGERS, MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
IRA R. HOFFMAN MD AND MURRAY R. ROGERS, MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HOFFMAN, MD & ROGERS, MD PC
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518987429
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26 FIREMENS MEMORIAL DR
Provider Second Line Business Mailing Address:
115
Provider Business Mailing Address City Name:
POMONA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10970-3553
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-750-8616
Provider Business Mailing Address Fax Number:
845-362-8474

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
122 EAST 76TH STREET
Provider Second Line Business Practice Location Address:
#1C
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10021-2833
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-755-7711
Provider Business Practice Location Address Fax Number:
212-688-2207
Provider Enumeration Date:
07/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROGERS
Authorized Official First Name:
MURRAY
Authorized Official Middle Name:
R.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
212-755-7711

Provider Taxonomy Codes

  • Taxonomy code: 170100000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: FI0W183910 . This is a "GROUP LEGACY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: W18391 . This is a "MEDICARE PROVIDER NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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