Active NPI
Charles F Hobaica, DPM
- Foot & Ankle Surgery Podiatrist
- Utica, NY
National Provider Identifier
1144221334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 003503-1
- Practice address
- 2315 Genesee St
Utica, NY 13501-6107 - Phone
- (315) 735-0237
- Fax
- (315) 732-8695
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 003503-1 | NY | Primary |
Addresses
Primary practice location
2315 Genesee St
Utica, NY 13501-6107
Mailing address
2315 Genesee St
Utica, NY 13501-6107
Phone (315) 735-0237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00789804 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003503-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1144221334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 GENESEE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135016107",
"telephone_number": "315-735-0237",
"fax_number": "315-732-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 GENESEE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135016107",
"telephone_number": "315-735-0237",
"fax_number": "315-732-8695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBAICA",
"first_name": "CHARLES",
"middle_name": "F",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "003503-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00789804",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.