Provider Demographics
NPI:1730558354
Name:HOFFMAN, ESTHER SIMA (DO)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:SIMA
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ESTHER
Other - Middle Name:SIMA
Other - Last Name:AINSPAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 419430
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-9430
Mailing Address - Country:US
Mailing Address - Phone:201-666-3900
Mailing Address - Fax:201-261-0505
Practice Address - Street 1:125 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:DUMONT
Practice Address - State:NJ
Practice Address - Zip Code:07628-3066
Practice Address - Country:US
Practice Address - Phone:201-374-2722
Practice Address - Fax:201-374-2723
Is Sole Proprietor?:No
Enumeration Date:2015-09-24
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09762500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ460165Medicare PIN