Active NPI
Jonathan Hajduk, DO
- Student in an Organized Health Care Education/Training Program
- Newport News, VA
National Provider Identifier
1073197885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 0116041965
- Practice address
- 500 J Clyde Morris Blvd
Newport News, VA 23601-1929 - Phone
- (757) 612-7200
- NPI assigned
- May 7, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116041965 | VA | Primary |
| General Practice Physician | 208D00000X | DO87837 | SC |
Addresses
Primary practice location
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Mailing address
Opc 41 Box 15
Apo, AE 09461
Other practice location 1
Opc 41 Box 15
Apo, AE 09461
Phone (314) 226-9050
Other practice location 2
128 E Apple St
Dayton, OH 45409-2902
Phone (937) 208-2951
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO87837 | SC | MD | General Practice Physician |
| 0116041965 | VA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1073197885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "OPC 41 BOX 15",
"city": "APO",
"state": "AE",
"postal_code": "09461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 J CLYDE MORRIS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011929",
"telephone_number": "757-612-7200"
}
],
"practiceLocations": [
{
"address_1": "OPC 41 BOX 15",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "09461",
"country_code": "US",
"telephone_number": "314-226-9050",
"country_name": "United States",
"address_type": "MIL"
},
{
"address_1": "128 E Apple St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092902",
"country_code": "US",
"telephone_number": "937-208-2951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAJDUK",
"first_name": "JONATHAN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-07",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116041965",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "SC",
"license": "DO87837",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.