Jill Hazen, DO

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Practice address

311 Commons Way
Princeton, NJ 08540-1510

Phone

(609) 921-7747

Fax

(609) 921-7748

NPI assigned

Oct 18, 2006

Last updated

Sep 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hazen Plastic Surgery, P.a.

  • Plastic Surgery Physician
  • Princeton, NJ
  • NPI 1306277108
  Authorized official Same address or phone

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1376624254",
    "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": {
        "last_name": "HAZEN",
        "first_name": "JILL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Hay, PH.D.
• Gillian J Hayes, O.D.
• William P Hayes, MD
• Loriann Alexandria Haytas, LCSW
• Hazen Plastic Surgery, P.a.
• Head and Heart Nutrition
• Healthcare Consultants Inc (Newborn Nurses)
• Healthdrive Podiatry Group, PC (HealthDrive Podiatry Group)
• Healthy Meals Supreme LLC
• Hearusa

• Plastic Surgery Physician in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.

Verify at the official NPI Registry.