Active NPI
Jennifer Hajek
- Physical Therapist
- Commack, NY
National Provider Identifier
1033761382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 500 Commack Rd Unit 150a
Commack, NY 11725-5009 - Phone
- (631) 784-1960
- NPI assigned
- Jul 16, 2019
- Last updated
- Aug 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary | |
| Orthopedic Physical Therapist | 2251X0800X | NU |
Addresses
Primary practice location
500 Commack Rd Unit 150a
Commack, NY 11725-5009
Mailing address
3 Stonehenge LN
East Northport, NY 11731-4519
Phone (631) 796-0080
Other practice location 1
611 Old Willets Path
Hauppauge, NY 11788-4115
Phone (631) 232-5350
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Charles Hospital Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Charles Hospital
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1033761382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 STONEHENGE LN",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314519",
"telephone_number": "631-796-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 COMMACK RD UNIT 150A",
"city": "COMMACK",
"state": "NY",
"postal_code": "117255009",
"telephone_number": "631-784-1960"
}
],
"practiceLocations": [
{
"address_1": "611 Old Willets Path",
"address_purpose": "LOCATION",
"city": "Hauppauge",
"state": "NY",
"postal_code": "117884115",
"country_code": "US",
"telephone_number": "631-232-5350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAJEK",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.