NPIMap

Organization Active NPI

Hazen Plastic Surgery, P.a.

  • Plastic Surgery Physician
  • Princeton, NJ
National Provider Identifier
1306277108
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25MB05053700 Issued in NJ
Legal business name
HAZEN PLASTIC SURGERY, P.A.
Practice address
311 Commons Way
Princeton, NJ 08540-1510
Phone
(609) 921-7747
Fax
(609) 921-7748
NPI assigned
Dec 3, 2013
Last updated
Dec 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Dr. Jill Hazen, D.O.NPI 1376624254
Title
President
Phone
(609) 921-7747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 25MB05053700 NJ Primary

Addresses

Primary practice location

311 Commons Way
Princeton, NJ 08540-1510

Mailing address

311 Commons Way
Princeton, NJ 08540-1510
Phone (609) 921-7747

National Provider Directory

National Provider Directory

Locations

311 Commons Way
Princeton, NJ 08540
Phone (609) 921-7747

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1306277108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 COMMONS WAY",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401510",
            "telephone_number": "609-921-7747",
            "fax_number": "609-921-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 COMMONS WAY",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401510",
            "telephone_number": "609-921-7747",
            "fax_number": "609-921-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEN PLASTIC SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "HAZEN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-921-7747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MB05053700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.