Individual provider Active NPI

Marygrace Christine Hajec, M.D.

  • Neurological Surgery Physician
  • Richmond, VA
National Provider Identifier
1366766602
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0101260349 Issued in VA
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

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011002728 NJ Practitioner - General Practice 7012229867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53276-20WIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brain and Body Regenerative Medicine Current Accepting new patients
Chiropractic Health Associates of New Jersey, LLC CurrentSince Oct 1, 2021 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.

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

Verify at the official NPI Registry.