Provider Demographics
NPI:1518987429
Name:IRA R. HOFFMAN MD AND MURRAY R. ROGERS, MD PC
Entity Type:Organization
Organization Name:IRA R. HOFFMAN MD AND MURRAY R. ROGERS, MD PC
Other - Org Name:HOFFMAN, MD & ROGERS, MD PC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-755-7711
Mailing Address - Street 1:26 FIREMENS MEMORIAL DR
Mailing Address - Street 2:115
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3553
Mailing Address - Country:US
Mailing Address - Phone:800-750-8616
Mailing Address - Fax:845-362-8474
Practice Address - Street 1:122 EAST 76TH STREET
Practice Address - Street 2:#1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2833
Practice Address - Country:US
Practice Address - Phone:212-755-7711
Practice Address - Fax:212-688-2207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYFI0W183910OtherGROUP LEGACY
NYW18391OtherMEDICARE PROVIDER NUMBER
NYFI0W183910OtherGROUP LEGACY
NYW18391Medicare PIN