Active NPI
Jordan Elias Hobaica
- Physician Assistant
- Hamilton, NY
National Provider Identifier
1467080960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 025731
- Practice address
- 85 College St
Hamilton, NY 13346-1227 - Phone
- (315) 824-1250
- Fax
- (315) 824-8961
- NPI assigned
- Mar 30, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 025731 | NY | Primary |
Addresses
Primary practice location
85 College St
Hamilton, NY 13346-1227
Mailing address
85 College St
Hamilton, NY 13346-1227
Phone (315) 824-1250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201230000797 | NY | Practitioner - Physician Assistant | 3577976091 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- College St Orthopedics
Practice addresses (Care Compare)
1 Oxford Rd
Suite 200
New Hartford, NY 13413-2651
Phone (315) 824-1250
85 College St
Hamilton, NY 13346-1227
Phone (315) 824-1250
Hospital & facility affiliations
- Oneida Health Hospital
- Rome Memorial Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.4 of 100
- Quality
- 86.36
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025731 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenango Memorial Hospital, Inc | Current | Accepting new patients | |
| Chenango Memorial Hospital Inc | Current | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Physician Assistant | Past | Accepting new patients |
Locations
179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111
Organizations & group practices 5
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.
-
- Durable Medical Equipment & Medical Supplies
- Norwich, NY
- NPI 1437818622
-
- Skilled Nursing Facility
- Norwich, NY
- NPI 1063425643
-
- Family Medicine Physician
- Norwich, NY
- NPI 1467526889
Physician Assistant
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rome, NY
- NPI 1306807193
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1467080960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 COLLEGE ST",
"city": "HAMILTON",
"state": "NY",
"postal_code": "133461227",
"telephone_number": "315-824-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 COLLEGE ST",
"city": "HAMILTON",
"state": "NY",
"postal_code": "133461227",
"telephone_number": "315-824-1250",
"fax_number": "315-824-8961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBAICA",
"first_name": "JORDAN",
"middle_name": "ELIAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "025731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.