Active NPI
Marygrace Christine Hajec, M.D.
- Neurological Surgery Physician
- Richmond, VA
National Provider Identifier
1366766602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 0101260349
- Practice address
- 1250 E Marshall St
NS: Neurosurgery
Richmond, VA 23298-5051 - Phone
- (804) 828-2437
- Fax
- (804) 828-1953
- NPI assigned
- Mar 16, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 53276-20 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | VA | ||
| Neurological Surgery Physician | 207T00000X | 0101260349 | VA | Primary |
Addresses
Primary practice location
1250 E Marshall St
NS: Neurosurgery
Richmond, VA 23298-5051
Mailing address
PO Box 980631
NS: Neurosurgery
Richmond, VA 23298-0631
Phone (804) 828-2437
Other names 1
- Mrs. Marygrace Christine Hagan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211011002728 | NJ | Practitioner - General Practice | 7012229867 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53276-20 | WI | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain and Body Regenerative Medicine | Current | Accepting new patients | |
| Chiropractic Health Associates of New Jersey, LLC | Current | Accepting new patients |
Locations
295 Pierson Ave
Ste 101
Edison, NJ 08837
Phone (732) 738-1800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Winchester, VA
- NPI 1073143228
-
- Chiropractor
- Edison, NJ
- NPI 1144346511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1366766602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980631",
"address_2": "NS: NEUROSURGERY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232980631",
"telephone_number": "804-828-2437",
"fax_number": "804-828-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E MARSHALL ST",
"address_2": "NS: NEUROSURGERY",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985051",
"telephone_number": "804-828-2437",
"fax_number": "804-828-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAJEC",
"first_name": "MARYGRACE",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-16",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WI",
"license": "53276-20",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101260349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARYGRACE",
"last_name": "HAGAN",
"middle_name": "CHRISTINE",
"prefix": "MRS.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.