Jodi D Hoffman
Medical Genetics (Clinical Genetics (M.D.))

Address: 850 Harrison Ave, Yacc 5, Boston, MA 02118-4001
Phone: 6174144841

Jodi D Hoffman (NPI# 1871605360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1871605360
Entity Type Individual
Full Name Jodi D Hoffman
Credential M.D.
Gender Female
Practice Address 850 Harrison Ave
Yacc 5
Boston
MA 02118-4001
Practice Telephone 6174144841
Practice Fax Number 6174145741
Mailing Address 720 Harrison Ave
Dob 503
Boston
MA 02118-2371
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-08-31
Last Update Date 2015-06-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207SG0201X Medical Genetics · Clinical Genetics (M.D.) Allopathic & Osteopathic Physicians 222751 MA
No 208000000X Pediatrics Allopathic & Osteopathic Physicians 222751 MA

Other Provider Identifier

State Identifier Issuer Type Code
MA 110039584A MEDICAID

Other Providers JODI HOFFMAN

NPI Name Taxonomy Address Enumeration
1073636981 Jodi Lynn Hoffman Pharmacist 6175 Hi-tek Ct., Mason, OH 45040-2603 2007-04-06

Physician Overview

NPI 1871605360
PAC ID by PECOS 8527029321
Professional Enrollment ID I20041025000934
Full Name Jodi D Hoffman
Organization Legal Name JORDAN PHYSICIAN ASSOCIATES INC.
Phone Number 5087462000
Gender F
Credential MD
Medical School ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year 1999
Primary Specialty MEDICAL GENETICS AND GENOMICS
Secondary Specialties PEDIATRIC MEDICINE
Group Practice PAC ID 1254321086
Number of Group Practice Members 183
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
220060 BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH
220031 BOSTON MEDICAL CENTER

Office Location

Street Address 850 HARRISON AVE
YACC 5
City BOSTON
State MA
Zip Code 02118-4001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659373397 Ana C. Sanchez Pediatrics 850 Harrison Ave, Yacc 6, Boston, MA 02118-4001 2005-08-12
1922569177 Celeste Langdon Jilich Student in an Organized Health Care Education/Training Program 850 Harrison Ave, Boston, MA 02118-4001 2019-03-29
1649731811 Jeansol Kang Student in an Organized Health Care Education/Training Program 850 Harrison Ave, Boston, MA 02118-4001 2019-03-28
1952862245 Justin Everett Kleiner Student in an Organized Health Care Education/Training Program 850 Harrison Ave, Boston, MA 02118-4001 2019-03-28
1568923878 Andrew Do Student in an Organized Health Care Education/Training Program 850 Harrison Ave, Boston, MA 02118-4001 2019-03-28
1053872788 Yeon Woo Lee Student in an Organized Health Care Education/Training Program 850 Harrison Ave, Boston, MA 02118-4001 2019-03-26
1639639750 Michelle Joy Wang Student in an Organized Health Care Education/Training Program 850 Harrison Ave, Boston, MA 02118-4001 2019-03-24
1376003731 Lina Tibavinsky Bernal Student in an Organized Health Care Education/Training Program 850 Harrison Ave, Boston, MA 02118-4001 2019-03-21
1891268314 Kimberly Hook Student in an Organized Health Care Education/Training Program 850 Harrison Ave, Dowling Building, 9th Floor, Boston, MA 02118 2019-01-08
1407340714 Krissie Gibbs Social Worker 850 Harrison Ave, Boston, MA 02118-4001 2018-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780145292 Fangnan Elisha Ndam Student in an Organized Health Care Education/Training Program 670 Albany Street 4th Floor, Department of Pathology and Laboratory Medicine, Boston, MA 02118 2019-03-27
1083174478 Kevin Stirling Student in an Organized Health Care Education/Training Program Shapiro Primary Care 725 Albany Street, Precepting Room, Boston, MA 02118 2019-03-21
1568922250 Katherine Wegman Student in an Organized Health Care Education/Training Program Boston Medical Center - Bcd Building, One Boston Medical Center Place, Boston, MA 02118 2019-03-20
1831659689 Anthony John Mell Student in an Organized Health Care Education/Training Program 1 Boston Medical Center Place Dept of Pediatrics, Menino Building, Dowling 3 South Resident Mailboxes, Boston, MA 02118 2019-03-20
1538628789 Pratima Agarwal Student in an Organized Health Care Education/Training Program 800 Harrison Avenue, Bcd 5th Floor, Boston, MA 02118 2019-03-18
1629537758 Tracy A Ledger Nurse Practitioner 830 Harrison Ave Moakley, 3rd Floor, Boston, MA 02118 2019-03-18
1467911701 Bijan Ghaffari Student in an Organized Health Care Education/Training Program 720 Harrison Ave # Dob505, Boston, MA 02118 2019-03-17
1467910695 Alice Ma Student in an Organized Health Care Education/Training Program Department of Radiology 820 Harrison Ave Fgh Building, 4th Floor, Boston, MA 02118 2019-03-06
1851857338 Ruth Madeline Mateo Nurse Practitioner 30 Northhampton Street, Boston, MA 02118 2019-02-20
1205311966 Jacqueline Husid Social Worker 1313washingtonst., Uniy 707, Boston, MA 02118 2018-09-28
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Taxonomy Information

Taxonomy Code 207SG0201X
Grouping Allopathic & Osteopathic Physicians
Classification Medical Genetics
Specialization Clinical Genetics (M.D.)

Taxonomy Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962819516 Almundher Al Maawali Medical Genetics 300 Longwood Ave # Cls15064, Boston, MA 02115-5724 2014-07-15
1912162835 Ashadeep Chandrareddy Medical Genetics 800 Washington St # 340, Division of Clinical Genetics, Tufts Nemc, Boston, MA 02111 2008-07-21
1013182500 Brian Gary Skotko Medical Genetics 185 Cambridge St Rm 2222, Boston, MA 02114-2790 2008-04-25
1558456392 Aubrey Milunsky Medical Genetics 700 Albany Street, 4th Floor Suite 408 Center for Human Genetics, Boston, MA 02118-2526 2006-10-04
1558320762 David Alan Sweetser Medical Genetics 55 Fruit St Yaw 8b, Pediatric Hematology Oncology, Boston, MA 02114-2696 2006-03-17
1831169721 Dwight Cordero Medical Genetics 77 Francis St, Boston, MA 02115-6110 2006-01-24
1104395656 Walla Al-hertani Medical Genetics 300 Longwood Avenue, Boston Children's Hospital, Boston, MA 02115 2018-11-14
1457868382 Hila Romi Medical Genetics 300 Longwood Ave, Boston, MA 02115-5724 2017-12-31
1326480765 Lance Harrington Rodan Medical Genetics 300 Longwood Ave, Boston, MA 02115-5724 2013-07-26
1821337791 Aya Abu-el-haija Medical Genetics 450 Brookline Ave, Boston, MA 02215 2013-02-12
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City BOSTON
Zip Code 02118

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Dataset Information

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.

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