Individual provider Active NPI

Marissa K Hobocan, DO

  • Cardiovascular Disease Physician
  • Wallingford, CT
National Provider Identifier
1104480508
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
84651 Issued in CT
Practice address
1062 Barnes Rd
Wallingford, CT 06492-6012
Phone
(203) 265-9831
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 84651 CT Primary

Addresses

Primary practice location

1062 Barnes Rd
Wallingford, CT 06492-6012

Mailing address

1062 Barnes Rd
Wallingford, CT 06492-6012
Phone (203) 265-9831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821003803 CT Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6901134493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Past Accepting new patients
Trinity Health of New England Provider Network Organization Inc PastSince Feb 14, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marissa.hobocan@xdr.hhchealthdirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1104480508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 BARNES RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064926012",
            "telephone_number": "203-265-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 BARNES RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064926012",
            "telephone_number": "203-265-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBOCAN",
        "first_name": "MARISSA",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "84651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.