Organization Active NPI

Jeffrey D. Hart DO PC

  • Orthopaedic Surgery Physician
  • Massapequa, NY
National Provider Identifier
1174399596
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
JEFFREY D. HART DO PC
Practice address
4200 Sunrise Hwy
Massapequa, NY 11758-5311
Phone
(833) 374-2787
NPI assigned
Nov 27, 2023
Organization subpart
Yes
Parent organization
JEFFREY D. HART DO PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Jeffrey Hart, DONPI 1386801579
Title
Medical Director
Phone
(516) 459-4671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

4200 Sunrise Hwy
Massapequa, NY 11758-5311

Mailing address

4200 Sunrise Hwy
Massapequa, NY 11758-5311
Phone (833) 374-2787

Other identifiers 4

IdentifierTypeStateIssuer
1871685404OtherNYNPI
1386680023OtherNYNPI
1235844606OtherNYNPI
1386801579OtherNYNPI

Other names 1

  • Hart Orthopedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240129001178 NY Part B Supplier - Clinic/Group Practice 9638522428 Receives reassigned benefits from 4 practitioners
Practice locations: Massapequa, NY

National Provider Directory

National Provider Directory
Part of
Jeffrey D Hart DO PC

Locations

2500 Nesconset Hwy
Bldg 11C
Stony Brook, NY 11790
Phone (631) 751-8004

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1174399596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SUNRISE HWY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585311",
            "telephone_number": "833-374-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SUNRISE HWY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585311",
            "telephone_number": "833-374-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D. HART DO PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFREY D. HART DO PC",
        "enumeration_date": "2023-11-27",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-459-4671",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871685404",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386680023",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235844606",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386801579",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hart Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hart Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.