GAYLORD THOMAS HOFFERT (NPI# 1447235965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447235965 |
| Entity Type | Individual |
| Full Name | GAYLORD THOMAS HOFFERT |
| Credential | MD |
| Practice Address |
325 Meeting House Ln Building #2 Suite 403 Southampton NY 11968-5087 |
| Mailing Address |
Po Box 2340 Southampton NY 11969-2340 |
| Practice Telephone | 6312832100 |
| Practice Fax Number | 6312835731 |
| Mailing Telephone | 6312832100 |
| Mailing Fax Number | 6312835731 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
236787 | NY | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD2019-0048 | NM | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
28721 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
325 MEETING HOUSE LN BUILDING #2 SUITE 403 |
| City | SOUTHAMPTON |
| State | NY |
| Zip Code | 11968-5087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290608 | Louis M Goldblum | Pediatrics | 325 Meeting House Ln, Southampton, NY 11968 | 2005-07-22 |
| 1700323326 | Sara Procak | Physician Assistant | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2017-01-20 |
| 1699189191 | Hamptons Vein & Vascular PC | Specialist | 325 Meeting House Ln, Bldg 1, Suite A, Southampton, NY 11968-5087 | 2014-06-12 |
| 1538503487 | James Wai | Internal Medicine | 325 Meeting House Ln, Bldg 2 Suite 403, Southampton, NY 11968 | 2013-04-22 |
| 1295964740 | Southampton Physical Therapy PC | Clinic/Center | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2009-07-06 |
| 1659508570 | Rajeev Santiago Fernando | Internal Medicine | 325 Meeting House Ln, Building #2, Southampton, NY 11968-5087 | 2009-06-18 |
| 1730325721 | Thelma Barker Gaetano | Pediatrics | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2008-12-23 |
| 1134385909 | Olga L Mcabee | Psychiatry & Neurology | 325 Meeting House Ln, Bldg #2 1st Suite 301, Southampton, NY 11968-5087 | 2008-07-31 |
| 1013182591 | Lawrence J Tarasuk | Surgery | 325 Meeting House Ln, Bldg 2 Suite 403, Southampton, NY 11968-5087 | 2008-04-25 |
| 1689842379 | Brian Park | Dentist | 325 Meeting House Ln, Bldg #2 Suite 401, Southampton, NY 11968-5087 | 2008-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333553 | Adam Spinner | Student in an Organized Health Care Education/Training Program | Stony Brook Southampton General Surgery, 240 Meeting House Lane, Southampton, NY 11968 | 2020-03-30 |
| 1538725205 | Blossom Counseling Services | Clinic/Center | 225 Old Point Rd, Southampton, NY 11968 | 2019-05-17 |
| 1386184679 | Oscar F. Mandes | Social Worker | 57 Hampton Road, Suite 201, Southampton, NY 11968 | 2017-03-06 |
| 1346780046 | Jacqueline Chantal Rosante | Physician Assistant | Meeting House Lane Medical Practice, PC Surgical Spec., 240, Southampton, NY 11968 | 2017-02-28 |
| 1316377260 | Empire Osteopathy LLC | Neuromusculoskeletal Medicine & OMM | 332a Canoe Place Road, Southampton, NY 11968 | 2013-11-13 |
| 1619225984 | Elizabeth Hope Piselli | Podiatrist | 365 County Road 39a Unit 9, Southampton, NY 11968 | 2012-08-16 |
| 1902164965 | University Hospital At Stony Brook | Clinic/Center | Church Street, Southampton, NY 11968 | 2012-04-27 |
| 1588933170 | Lindsey Dargan | Speech-Language Pathologist | 141 Narrow Lane, Southampton, NY 11968 | 2011-12-28 |
| 1013249069 | Justina Savarese | Speech-Language Pathologist | 168 Hill Street, Southampton, NY 11968 | 2010-02-02 |
| 1164541918 | Maria Radu | Dentist | 39 Inlet Rd East, Southampton, NY 11968 | 2007-03-29 |
| Find all providers in zip 11968 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891711891 | Robert J Weiss | Internal Medicine | 325 Meeting House Ln, Bldg # 2, Southampton, NY 11968-5087 | 2006-07-14 |
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| 1881255370 | Marc J Yunis Md PC | Internal Medicine | 1100 Stewart Ave Ste 2, Garden City, NY 11530-4839 | 2019-06-25 |
| 1750841953 | Live Well Medical Care, PC | Internal Medicine | 178 Dahill Rd Ste 1, Brooklyn, NY 11218-2255 | 2019-03-22 |
| 1124509278 | Andre Francis Charest | Internal Medicine | 462 Grider St Fl 11, Buffalo, NY 14215-3021 | 2018-08-27 |
| 1760960132 | Hn&d Company LLC | Internal Medicine | 33 Walt Whitman Rd Ste 114, Huntington Station, NY 11746-3676 | 2018-07-30 |
| 1669979720 | Ambreen Azhar | Internal Medicine | St Lukes Hospital Mount Sinai, 1111 Amsterdam Ave, Nyc, NY 10025 | 2018-04-06 |
| 1659898443 | Broadway Medical Care, P.C. | Internal Medicine | 4117 Judge St Fl 1, Elmhurst, NY 11373-2343 | 2017-08-23 |
| 1023539590 | Ismail Omran | Internal Medicine | 7901 Broadway # C7-10, Elmhurst, NY 11373-1329 | 2017-07-05 |
| 1932636636 | Marco Bonilla | Internal Medicine | 8345 Lefferts Blvd Apt 2c, Kew Gardens, NY 11415-2516 | 2017-05-12 |
| 1386190676 | Mubasshar Rehman | Internal Medicine | Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHAMPTON |
| Zip Code | 11968 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.