Active NPI
Maury Hoberman, M.D.
- Facial Plastic Surgery Physician
- West Chester, PA
National Provider Identifier
1063703239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- MD027752L
- Practice address
- 931 Bridle LN
West Chester, PA 19382-2112 - Phone
- (610) 692-2246
- NPI assigned
- Apr 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | MD027752L | PA | Primary |
Addresses
Primary practice location
931 Bridle LN
West Chester, PA 19382-2112
Mailing address
931 Bridle LN
West Chester, PA 19382-2112
Phone (610) 692-2246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD027752L | PA | MD | Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303430400000",
"number": "1063703239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 BRIDLE LN",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193822112",
"telephone_number": "610-692-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 BRIDLE LN",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193822112",
"telephone_number": "610-692-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBERMAN",
"first_name": "MAURY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-22",
"last_updated": "2011-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "PA",
"license": "MD027752L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.