KELLY A HOFFMAN (NPI# 1942714464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942714464 |
| Entity Type | Individual |
| Full Name | KELLY A HOFFMAN |
| Credential | PA-C |
| Practice Address |
133 Polk Ln Bridgeton NJ 08302-5905 |
| Mailing Address |
211 Haegele Pl Mount Royal NJ 08061-1072 |
| Practice Telephone | 8564557575 |
| Mailing Telephone | 6096806399 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00456300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811428238 | Kelly Hoffman | Massage Therapist | 2263 Us 70 Hwy, Suite 1, Swannanoa, NC 28778-9304 | 2017-03-27 |
| 1669641486 | Kelly M Hoffman | Physical Therapist | 95 Mathews Dr Ste D5, Hilton Head, SC 29926-3768 | 2008-02-26 |
| 1356820542 | Kelly Hoffman | Social Worker | 1400 N Ritter Ave Ste 231, Indianapolis, IN 46219-3099 | 2018-08-09 |
| 1285158220 | Kelly E Hoffman | Orthopaedic Surgery | 600 Mount Pleasant Ave, Dover, NJ 07801-1629 | 2017-08-01 |
| 1871950907 | Kelly Hoffman | Registered Nurse | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2016-01-20 |
| 1851708564 | Kelly Sue Hoffman | Registered Nurse | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2014-07-14 |
| 1811251531 | Kelly Hoffman | Counselor | 500 Walnut St, Mckeesport, PA 15132-2801 | 2012-06-27 |
| 1437426327 | Kelly Denise Hoffman | Nurse Practitioner | 4900 Mueller Blvd, Trauma Services, Austin, TX 78723-3079 | 2011-11-21 |
| 1639452303 | Kelly M Hoffman | Pharmacist | 700 S Breiel Blvd, Middletown, OH 45044-6202 | 2011-09-20 |
| 1033126503 | Kelly J Hoffman | Nurse Practitioner | 920 Bell Ave, Westbrook, MN 56183-9669 | 2006-08-01 |
| Street Address |
133 POLK LN |
| City | BRIDGETON |
| State | NJ |
| Zip Code | 08302-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588647143 | David P Russo | Internal Medicine | 133 Polk Ln, Bridgeton, NJ 08302-5905 | 2005-11-28 |
| 1174123582 | Summit Bhc New Jersey, LLC | Substance Abuse Rehabilitation Facility | 133 Polk Ln, Bridgeton, NJ 08302-5905 | 2020-10-27 |
| 1184993701 | Karen Lynn Kushner | Nurse Practitioner | 133 Polk Ln, Bridgeton, NJ 08302-5905 | 2011-12-28 |
| 1013210392 | Larena M Wilde | Counselor | 133 Polk Ln, Bridgeton, NJ 08302-5905 | 2010-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508390196 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Northwest Drive, Bridgeton, NJ 08302 | 2017-04-20 |
| 1124552716 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 198 Roadstown Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1861926453 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 555 Burlington Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1306370994 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 92 Princeton Avenue, Bridgeton, NJ 08302 | 2017-04-20 |
| 1205360245 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Roberts Avenue, Bridgeton, NJ 08302 | 2017-04-17 |
| 1649704602 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 West Park Drive, Bridgeton, NJ 08302 | 2017-04-17 |
| 1871043299 | Leah Sadler | Counselor | 90 S Burlington Rd, 189, Bridgeton, NJ 08302 | 2016-10-10 |
| 1245695428 | Bkt High Quality Healthcare Agency LLC | Home Health | 6 South Laurel St., 2nd Floor, Bridgeton, NJ 08302 | 2015-12-15 |
| 1073986493 | Caringhouse Projects, Inc | Respite Care | 1040 Laurel Lane, Deerfield Township, NJ 08302 | 2015-11-06 |
| 1174903256 | Christopher Struby | Internal Medicine | 201 Laurel Heights Dr # 201, Bridgeton, NJ 08302 | 2015-06-04 |
| Find all providers in zip 08302 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396796041 | Paul J Diesfeld | Physician Assistant | 12349 De Paul Dr Ste 100, Bridgeton, MO 63044-2512 | 2006-05-15 |
| 1538160015 | Stacey L Smick | Physician Assistant | 70 Cornwell Dr, Bridgeton, NJ 08302-3602 | 2005-08-09 |
| 1255965422 | Kayla Michele Richter | Physician Assistant | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-02-26 |
| 1013548767 | Blessing Kudakwashe Tupiri | Physician Assistant | 12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 | 2020-01-31 |
| 1679968135 | Elizabeth Bokermann | Physician Assistant | 12266 Depaul Dr, Suite 220, Bridgeton, MO 63044 | 2015-04-01 |
| 1437590437 | Courtney C Grodie | Physician Assistant | 12349 De Paul Dr, Bridgeton, MO 63044-2512 | 2013-07-08 |
| 1053660076 | Bridgeton Emergency Group LLC | Physician Assistant | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2012-09-05 |
| 1154639318 | Jennifer Cafi | Physician Assistant | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2010-09-21 |
| 1275706913 | Amber Renee Johnson | Physician Assistant | 12255 De Paul Dr, Suite 460, Bridgeton, MO 63044-2510 | 2008-04-02 |
| 1356393961 | Lynn M Robbins | Physician Assistant | 12349 De Paul Dr Ste 100, Bridgeton, MO 63044-2512 | 2006-05-16 |
| Find all providers in BRIDGETON | ||||
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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.