Healthcare Provider Details

I. General information

NPI: 1538724794
Provider Name (Legal Business Name): DANIEL J HOBSON PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2019
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 STATE ROUTE 33 FL 4
NEPTUNE NJ
07753-4859
US

IV. Provider business mailing address

80 SEYMOUR ST
HARTFORD CT
06102-8000
US

V. Phone/Fax

Practice location:
  • Phone: 732-776-4949
  • Fax: 732-776-4509
Mailing address:
  • Phone: 860-972-5022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number006404
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00531200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: