Provider Demographics
NPI:1356335343
Name:HOFFMAN, ERIC S
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:S
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ESCHER DR
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2223
Mailing Address - Country:US
Mailing Address - Phone:732-972-3698
Mailing Address - Fax:732-972-9040
Practice Address - Street 1:7 ESCHER DR
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-2223
Practice Address - Country:US
Practice Address - Phone:732-972-3698
Practice Address - Fax:732-972-9040
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-06
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPO 00001900222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00696355Medicaid
NJ3252001Medicaid
NJ3252001Medicaid