Healthcare Provider Details
I. General information
NPI: 1215047980
Provider Name (Legal Business Name): ADULT MEDICAL CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
275 CASTLETON AVE
STATEN ISLAND NY
10301-2709
US
IV. Provider business mailing address
500 SEAVIEW AVE
STATEN ISLAND NY
10305-3403
US
V. Phone/Fax
- Phone: 718-447-7800
- Fax:
- Phone: 718-351-8812
- Fax: 718-351-8776
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RICHARD
S
HOFFMAN
Title or Position: DIRECTOR
Credential: MD
Phone: 718-351-8812