Individual provider Active NPI

Horacio B. Hojman, MD

  • Child & Adolescent Psychiatry Physician
  • Providence, RI
National Provider Identifier
1558345512
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD09472 Issued in RI
Practice address
593 Eddy St
Pob 122
Providence, RI 02903-4923
Phone
(401) 444-4515
Fax
(401) 444-7018
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD09472 RI
Child & Adolescent Psychiatry Physician 2084P0804X MD09472 RI Primary

Addresses

Primary practice location

593 Eddy St
Pob 122
Providence, RI 02903-4923

Mailing address

593 Eddy St
Potter 3
Providence, RI 02903-4923
Phone (401) 444-4318

Other identifiers 1

IdentifierTypeStateIssuer
7005953MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050523000320 MA Practitioner - Psychiatry 3678514460 Reassigns benefits to 1 organization
I20051011000066 RI Practitioner - Psychiatry 3678514460 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD09472RIMDChild & Adolescent Psychiatry Physician
158592MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. Psychiatry CurrentSince Apr 17, 2013 Accepting new patients
Child and Family Psychological Services, PLLC Psychiatry CurrentSince Dec 1, 2019 Accepting new patients
Lifespan Corporation Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Apr 17, 2013 Accepting new patients
Gateway Healthcare Inc PastSince Jan 1, 1990 Accepting new patients
Gateway Healthcare, Inc PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital Past Accepting new patients
Gateway Healthcare, Inc PastSince Jan 1, 1990 Accepting new patients
Psychological Associates of Southeastern Massachusetts, LLC Psychiatry PastSince Feb 1, 2012 Accepting new patients

Locations

115 Main St
Ste D
North Easton, MA 02356
Phone (508) 238-7766

115 Main St
Ste 2D
North Easton, MA 02356
Phone (508) 238-7766

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

169 Libbey Park
Weymouth, MA 02189
Phone (508) 238-7766

593 Eddy St
Rm 38
Providence, RI 02903
Phone (401) 444-4779

593 Eddy St
#970
Providence, RI 02903
Phone (401) 444-2128

593 Eddy St
Providence, RI 02903

593 Eddy St
#3
Providence, RI 02903
Phone (401) 444-3534

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

Interoperability endpoints

  • Direct secure messaging: hhojman10911@brownhealth.medalliesdirect.net
  • Direct secure messaging: cfps.horaciahojman@139414.advancedmd-direct.com

Organizations & group practices 9

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1558345512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "POTTER 3",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-4318",
            "fax_number": "401-444-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "POB 122",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-4515",
            "fax_number": "401-444-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOJMAN",
        "first_name": "HORACIO",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD09472",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "RI",
            "license": "MD09472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005953",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.